Method for inducing an immune response and formulations thereof

ABSTRACT

The invention is related to peptide constructs, i.e., polypeptides obtained by linking together two or more peptides based on or derived from different molecules, which are useful in the treatment or prevention of influenza virus and other infectious diseases. Compositions containing the same, methods for producing the same, and methods for using the same are also disclosed, wherein the peptide constructs have the formula P1-x-P2, where P2 is a peptide associated with an infectious agent and P1 is a peptide that will bind to a class of immune cells, such as dendritic cells. The peptide construct can cause the maturation of immature dendritic cells to a more mature state. The peptide construct or the more mature dendritic cell can be administered to a subject to modulate or initiate an immune response against an infectious agent. Dyes, radioisotopes, or therapeutic agents conjugated with the dendritic cells can be used for localization of the immune target and/or prophylactic or therapeutic treatment of the disease.

SEQUENCE LISTING

This application contains a “Sequence Listing” submitted as an electronic .txt file named “CS_ST25.txt.” The subject matter of the “Sequence Listing” is incorporated herein by reference along with the subject matter of International Publication Number WO 2010/120897 A1 (International Application Number PCT/US2010/031054) and U.S. Patent Application 61/490,050, 61/538,427 and 61/490,056.

FIELD OF INVENTION

The invention generally relates to methods for preventing or treating a disease by generating or modulating an immune response with the use of specific peptide constructs. In one embodiment, an immunomodulatory Peptide J, DLLKNGERIEKVE (SEQ ID No. 3), is part of a peptide construct to induce an antigen-specific maturation of immune cells from a mammal subject. The immunomodulator Peptide J can be linked to antigen epitopes of infectious diseases such as Type A influenza viruses (H1N1, H5N1, H3N2, etc.), including influenza viruses that originate in “swine,” “avian” or “bird” species, to provide for a method of treatment or prevention of influenza viral diseases. In other embodiments, for example, the immunomodulator Peptide J can be linked to antigen epitopes of infectious diseases such as Type such as Herpes simplex virus or other RNA or DNA single- or double-stranded viruses, bacteria, rickettsia or parasites to provide for a method of treatment or prevention.

BACKGROUND

Influenza is a common infectious disease brought about by an RNA virus of the same name. While vaccines for influenza have been available, strains of influenza evolve readily and novel viruses emerge from various species (e.g. bird to human transfer) requiring new vaccines to be provided on seasonal or sporadic basis. Similarly, other disease causing agents including various viruses such as HIV, HTLV viruses and others evolve readily and novel viruses emerge from various species (e.g. bird, rodents, livestock and other primate-to-human transfer) requiring new vaccines to be provided on seasonal or sporadic basis. Whole virus vaccines, split virus vaccines, surface antigen vaccines and live attenuated virus vaccines are available for influenza. However, presently available vaccines require constant updating because of 1) mutations, 2) re-assortment of genes between various strains, and 3) the continual emergence (or re-emergence) of different strains.

Common vaccines for influenza are designed to induce an immune response that is directed at the so-called protective antigens, hemagglutinin (HA or H) and neuramindase (NA or N), and the vaccines induce strain specific immunity.

Each year, numerous individuals are infected with different strains and types of influenza virus. Oftentimes, complications from influenza infection lead to protracted illness or death. Infants, the elderly, those without adequate health care and immuno-compromised persons are particularly vulnerable to complications arising from influenza infections. In some cases, otherwise healthy adults are at risk for severe complications including death from influenza infection. The 1918 Spanish influenza, which was genetically related to the 2009 pandemic H1N1 influenza, had the propensity for affecting individuals with healthy immune systems. The H5N1 influenza virus is also believed to have a heightened risk for affecting individuals with healthy immune systems, which may result in a cytokine storm (hypercytokimemia). A cytokine storm is caused by excessive amounts of pro-inflammatory cytokines and tends to occur in patients with stronger, “robust,” immune systems and leads to an increased risk for death in otherwise healthy adults. There is a need for a formulation and a method of vaccination and/or treatment to combat a deadly pandemic and to protect against new strains of Type A influenza that may present an elevated risk for even those with healthy immune systems. Emergent influenza viruses can be the most deadly for people in their prime, rather than affecting only the very young, the very old, or the most severely immuno-compromised.

Appropriate formulations of peptide constructs can stimulate and produce a systemic immune response. Peptide construct technology has provided the ability to produce vaccines using genetic engineering (recombinant vaccines). Such vaccines are typically created using antigenic moieties of the newly emergent virus strains when polypeptides and polynucleotides of novel, newly emergent, or newly re-emergent virus strains are desired. The focus on most current vaccines is not on conserved proteins and, especially, essential regions of such conserved proteins.

SUMMARY OF THE INVENTION

Peptides and compositions for use in treatment for Type A influenza infections and other infectious diseases are disclosed, including the treatment of HSV I, II, EBV, VZV, CMV, KHSV (HSV-VIII), HTLV-I, HTLV-II, HBV, RSV, HPV, TB, and the causative agent of Lyme disease. Peptides and compositions disclosed herein are competent for the ex vivo treatment of immune cells for maturation and/or activation of immunity infection as well as methods for the use of such matured immune cells for the prevention and treatment of many of these agents and related diseases. The peptide constructs disclosed herein are based on a Ligand Epitope Antigen Presentation System (LEAPS™) technology that can convert small peptides, which typically do not elicit strong and protective immune responses, into immunogens that do elicit an immune response.

In certain embodiments, peptides and compositions disclosed herein are competent for the ex vivo treatment of immune cells for maturation and/or activation of immunity against Type A influenza infection as well as methods for the use of such matured immune cells for the prevention and treatment of Type A influenza infections. The peptide constructs disclosed herein are based on a Ligand Epitope Antigen Presentation System (LEAPS™) technology that can convert small peptides that typically do not elicit strong and protective immune responses, into immunogens that do elicit an immune response.

In certain embodiments, the novel heteroconjugates or peptide constructs disclosed herein are based upon highly-conserved sequences common to various strains of Type A Influenza viruses (H1N1, H5N1, H3N2, etc.), including “swine,” “avian” or “bird,” and “Spanish Influenza,” in order to minimize the chance of insufficient immunity due to mutation. As such, the heteroconjugates or peptide constructs provide immunity to more than one sub-type and/or strain of type A influenza virus. That is, the novel heteroconjugates or peptide constructs promote immune recognition of antigens and/or epitopes common to different sub-types and strains of Type A influenza viruses and common between different Type A influenza viruses.

In certain embodiments, a composition contains one or more heteroconjugates or peptide constructs or dendritic cells treated with one or more heteroconjugates or peptide constructs for treatment or immunization to several or multiple subtypes of type A influenza.

In certain embodiments, a composition containing one or more heteroconjugates or peptide constructs or dendritic cells treated with one or more heteroconjugates or peptide constructs for treatment or immunization to several or multiple subtypes of type A influenza.

In certain embodiments, a composition containing one or more heteroconjugates or peptide constructs or dendritic cells treated with one or more heteroconjugates or peptide constructs acts as a multi-strain influenza vaccine or as a treatment for more than one influenza sub-type and/or strain.

In certain embodiments, a composition containing one or more heteroconjugates or peptide constructs or dendritic cells treated with one or more heteroconjugates or peptide constructs acts as a multi-subtype influenza vaccine or as a treatment more than one influenza sub-type and/or strain.

In certain embodiments, a composition for use as a treatment or as an influenza vaccine for more than one sub-type and/or strain of type A influenza virus contains from about 1 to about 10 or less peptide conjugates containing an immune cell binding ligand (ICBL) as described herein. In other embodiments, a composition for use as a treatment or as an influenza vaccine for more than one sub-type and/or strain of type A influenza virus contains from about 3 to about 5 or less peptide conjugates containing an ICBL as described herein. In further embodiments, a composition for use as a treatment or as an influenza vaccine for more than one sub-type and/or strain of type A influenza virus contains from about 3 to about 10 or less peptide conjugates containing an ICBL as described herein.

In certain embodiments, peptide heteroconjugates having an immunomodulatory effect for influenza infection include the peptide heteroconjugate DLLKNGERIEKVEGGGNDATYQRTRALVRTG (SEQ ID No. 1), containing two elements of the LEAPS™ heteroconjugate construct, namely an immune cell binding ligand (ICBL) Peptide J, DLLKNGERIEKVE (SEQ ID No. 3) linked to a peptide derived from the nucleoprotein (NP) of the Type A influenza virus NDATYQRTRALVRTG (SEQ ID No. 7). Another LEAPS™ peptide heteroconjugate having immunomodulatory effect for influenza infection is the peptide construct DLLKNGERIEKVEGGGSLLTEVETPIRNEWGCRCNDSSD (SEQ ID No. 2), containing two elements of the LEAPS™ heteroconjugate construct, namely a ICBL Peptide J, DLLKNGERIEKVE (SEQ ID No. 3) linked to a peptide derived from the matrix 2 ectodomain (M2e) of the A virus SLLTEVETPIRNEWGCRCNDSSD (SEQ ID No. 8). Additional peptide constructs having immunomodulatory effects are disclosed.

In certain embodiments, a peptide construct for directing an immune response against various infectious disease causing agents or for maturing dendritic cells from immature dendritic cells to a more matured and now activated dendritic cell are provided. The peptide has the formula P₁-x-P₂ or P₂-x-P₁, where P₂ represents a specific antigenic peptide, P₁ represents an immunomodulatory peptide, which is a portion of an immunoprotein capable of promoting binding to a class or subclass of immune cells, and x represents a covalent bond or a divalent linking group.

In certain embodiments, a composition having a population of matured dendritic cells is provided. The population of matured dendritic cells is formed by treating immature dendritic cells or monocytes with an effective amount of a peptide construct having the formula P₁-x-P₂ or P₂-x-P₁ under conditions suitable for maturation of the cells to form the matured or effective dendritic cells which interacts with T cells, where P₂ represents a specific antigenic peptide, P₁ represents an immunomodulatory peptide which is a portion of an immunoprotein capable of promoting binding to a class or subclass of DC or T cells, and -x- represents a covalent bond or a divalent linking group.

In certain embodiments, a peptide for directing an immune response against Type A influenza virus or for maturing dendritic cells from immature dendritic cells to a more matured and now activated dendritic cell is provided. The peptide has the formula P₁-x-P₂ or P₂-x-P₁ where P₂ represents a specific antigenic peptide derived from a Type A influenza virus, P₁ represents an immunomodulatory peptide which is a portion of an immunoprotein capable of promoting binding to a class or subclass of immune cells, and x represents a covalent bond or a divalent linking group.

In certain embodiments, a composition comprising a population of matured dendritic cells is provided. The population of matured dendritic cells is formed by treating immature dendritic cells or monocytes with an effective amount of a peptide construct having the formula P₁-x-P₂ or P₂-x-P₁ under conditions suitable for maturation of the cells to form the matured or effective dendritic cells which interacts with T cells, where P₂ represents a specific antigenic peptide derived from an influenza virus, P₁ represents an immunomodulatory peptide which is a portion of an immunoprotein capable of promoting binding to a class or subclass of DC or T cells, and -x- represents a covalent bond or a divalent linking group.

In certain embodiments, a method for targeting matured or effective dendritic cells to an infection site in a subject is provided. Immature dendritic cells or monocytes are treated with a peptide construct ex vivo under conditions suitable for maturation of the cells to form more matured or activated dendritic cells, and an effective amount of these matured dendritic cells are administered to the subject, wherein a majority of the dendritic cells administered to the subject locate to the infection site.

In certain embodiments, a therapeutic method of inducing an immune response in an animal subject infected with an infectious agent is provided by maturing dendritic cells (DC) by ex vivo treatment with an effective amount of a LEAPS™ heteroconjugate construct having immunomodulatory effect for infections or a mixture of LEAPS™ heteroconjugates having immunomodulatory effect when administered to a subject. The matured dendritic cells can then be transferred to an animal subject to confer immunity to an infectious agent or to treat an on-going viral, bacterial, parasitic or rickettsial infection. In certain embodiments, the LEAPS™ heteroconjugate can be administered to a subject to confer active immunity to infections in a manner similar to traditional vaccines containing attenuated virus, live virus, or viral proteins or protein fragments, wherein the LEAPS™ heteroconjugate is administered direct to a subject with or without an optional adjuvant.

In certain embodiments, therapeutic method of inducing an immune response in an animal subject infected with Type A influenza virus is provided by maturing dendritic cells (DC) by ex vivo treatment with an effective amount of a LEAPS™ heteroconjugate construct having immunomodulatory effect for influenza infection or a mixture of LEAPS™ heteroconjugates having immunomodulatory effect for influenza infection. The matured dendritic cells can then be transferred to an animal subject to confer immunity to Type A influenza virus or to treat an ongoing influenza infection. In certain embodiments, the LEAPS™ heteroconjugate can be administered to a subject to confer active immunity to influenza infections in a manner similar to traditional influenza vaccines containing attenuated virus, live virus, or viral proteins or protein fragments, wherein the LEAPS™ heteroconjugate is administered direct to a subject with or without an optional adjuvant.

In certain embodiments, a method for modulating a response to an infection in a subject in need thereof is provided by combining dendritic cells (DCs) and/or monocytes, that can be derived from an infected subject or a suitably matched donor, with a LEAPS™ heteroconjugate having immunomodulatory effect for the infection ex vivo to form a mixture, and administering the mixture to the subject. A method for modulating a response to an infection in a subject is provided by treating isolating DCs and/or monocytes from blood derived monocytes and/or bone marrow taken from the subject with a LEAPS™ heteroconjugate to induce maturation of the DCs and/or monocytes into matured DCs and administering, optionally without any supplementary immunomodulators, an effective amount of the treated matured DCs back into the subject.

In certain embodiments, method for modulating a response to Type A influenza virus in a subject in need thereof is provided by combining dendritic cells (DCs) and/or monocytes, that can be derived from an influenza infected subject or a suitably matched donor, with a heteroconjugate having immunomodulator effect for influenza virus ex vivo to form a mixture and administering the mixture to the subject. A method for modulating a response to Type A influenza virus in an infected subject is provided by treating isolated DCs and/or monocytes from blood derived monocytes and/or bone marrow taken from the subject with a heteroconjugate to induce maturation of the DCs and/or monocytes into matured DCs and administering, optionally without any supplementary immunomodulators, an effective amount of the treated matured DCs back into the subject.

In certain embodiments, additional heteroconjugates having immunomodulatory effect for influenza virus include, in addition to the heteroconjugates SEQ ID No. 1 or SEQ ID No. 2, heteroconjugates including the Peptide J (SEQ ID No. 3), Peptide G (SEQ ID No. 6) or CEL-1000 (SEQ ID No. 4) sequences conjugated with HA2 core 1, GLFGAIAGFIEGG (SEQ ID No. 10) or HA2 core 2, LKSTQNAIDEITNKVN (SEQ ID No. 9). A heteroconjugate of Peptide J (SEQ ID No. 3) and HA2 core 1, GLFGAIAGFIEGG (SEQ ID No. 10), with a spacer GGG, is DLLKNGERIEKVEGGGGLFGAIAGFIEGG (SEQ ID No. 12). A heteroconjugate of Peptide J (SEQ ID No. 3) and HA2 core 2, LKSTQNAIDEITNKVN (SEQ ID No. 9), with a spacer GGG, is DLLKNGERIEKVEGGGLKSTQNAIDEITNKVN (SEQ ID No. 11). Any of the heteroconjugate can optionally be combined with an adjuvant for in vivo use by administration into a living animal or human.

In certain embodiments, a tracking marker or a therapeutic agent is conjugated to an antibody having affinity for any one of MHC II, CD11c, DEC-205, Dectin-1, DC-SIGN, and DC-LAMP.

In certain embodiments, a peptide conjugate or an dendritic cell is conjugated to a therapeutic agent selected from the group consisting of reverse transcriptase inhibitors, portmanteau inhibitors, integrase inhibitors, protease inhibitors, entry inhibitors, CCR5 receptor antagonists, maturation inhibitors, agents from the ARV NRTI group, penicillins, cephalosporins, vancomycin, tetracyclines, macrolides, chloramphenicol, clindamycin, spectinomycin, sulfonamides, DNA-gyrase inhibitors, antimycobacterial agents, protein synthesis inhibitors, mefloquine, doxycycline, atovaquone, proguanil hydrochloride, proguanil, quinacrine, chloroquine, primaquine, amoxicillin, penicillin G, and clarithromycin.

In certain embodiments, matured dendritic cells exhibit an upregulation of one or more of CD80, CD86 and Major Histocompatibility Complex II relative to immature dendritic cells or monocytes not contacted with the peptide construct.

In certain embodiments, matured dendritic cells are isolated away from bone marrow or blood tissues.

In certain embodiments, matured dendritic cells produce an increased amount of Interleukin 12p70 (IL-12p70) compared to immature dendritic cells or monocytes not contacted with the peptide construct.

In certain embodiments, a therapeutic agent or a tracking marker is conjugated to a peptide conjugate the peptide construct is conjugated to the therapeutic agent by a cathepsin cleavable valine-citrulline dipeptide linker or by linking with a cysteine or lysine residue of the peptide construct by conjugation to a group selected from OH groups, COOH groups, amine groups, and amide groups of the peptide construct.

In certain embodiments, a peptide construct is conjugated to a lysosmatropic agent.

In certain embodiments, a peptide for directing an immune response against an infection or for maturing dendritic cells is a peptide construct selected from the group consisting of SEQ ID No.'s 140-189 and 209-218 or a variant thereof.

In certain embodiments, a composition containing matured dendritic cells is provided. The matured dendritic cells are formed by contacting immature dendritic cells or monocytes with an effective amount of a peptide construct having the formula P₁-x-P₂ or P₂-x-P₁ under conditions suitable for maturation of the immature dendritic cells to form the matured dendritic cells, wherein P₂ represents a specific antigenic peptide derived from infectious, viral, bacterial, parasitic disease causing agent; P₁ represents an immunomodulatory peptide which is a portion of an immunoprotein capable of promoting binding to a class or subclass of dendritic cells; and x represents a covalent bond or a divalent linking group.

In certain embodiments, a composition containing a population of matured dendritic cells is provided. The matured dendritic cells formed are by contacting immature dendritic cells or monocytes with an effective amount of a peptide construct selected from the group consisting of SEQ ID No.'s 140-189 and 209-218 or a variant thereof under conditions suitable for maturation of the dendritic cells or monocytes.

In certain embodiments, a method for inducing a systemic immune response to an infection includes administering an immunologically effective amount of a peptide construct selected from the group consisting of SEQ ID No.'s 140-189 and 209-218 or a variant thereof to a subject.

In certain embodiments, a method for producing a matured dendritic cell population is performed by contacting or treating immature dendritic cells or monocytes with an effective amount of a peptide construct having the formula P₁-X-P₂ or P₂-X-P₁ under conditions suitable for maturation of dendritic cells or monocytes to form matured dendritic cells, wherein P₂ represents a specific antigenic peptide derived from infectious, viral, bacterial, parasitic disease causing agent; P₁ represents an immunomodulatory peptide which is a portion of an immunoprotein capable of promoting binding to a class or subclass of dendritic cells; and x represents a covalent bond or a divalent peptide linking group.

In certain embodiments, an immune response in a subject is modulated or a subject is vaccinated by contacting immature dendritic cells or monocytes with a peptide construct having the formula P₁-x-P₂ or P₂-x-P₁ under conditions suitable for maturation of the cells to form matured dendritic cells and administering an effective amount of the matured dendritic cells to the subject. In the peptide construct, P₂ represents a specific antigenic peptide derived from infectious, viral, bacterial, parasitic disease causing agent; P₁ represents an immunomodulatory peptide which is a portion of an immunoprotein capable of promoting binding to a class or subclass of dendritic cells; and x represents a covalent bond or a divalent peptide linking group.

In certain embodiments, the peptide construct having the formula P₁-x-P₂ or P₂-x-P₁ has a peptide P₁ selected from the group consisting of SEQ ID No.'s 3-6 and 40 or variants thereof.

In certain embodiments, the peptide construct having the formula P₁-x-P₂ has a peptide P₂ selected from one of the following groups: the group consisting of SEQ ID No.'s 7-10 and 41-46; the group consisting of SEQ ID No.'s 53-56; the group consisting of SEQ ID No.'s 57-60; the group consisting of SEQ ID No.'s 61-64; the group consisting of SEQ ID No.'s 65-66; the group consisting of SEQ ID No.'s 67-68; the group consisting of SEQ ID No.'s 69-70; the group consisting of SEQ ID No.'s 71-72; the group consisting of SEQ ID No.'s 73-74; the group consisting of SEQ ID No.'s 75-80; the group consisting of SEQ ID No.'s 81-82; the group consisting of SEQ ID No.'s 83-86; the group consisting of SEQ ID No.'s 87-90; the group consisting of SEQ ID No.'s 91-99; the group consisting of SEQ ID No.'s 100-114; the group consisting of SEQ ID No.'s 115-120; the group consisting of SEQ ID No.'s 121-124; the group consisting of SEQ ID No.'s 125-126; the group consisting of SEQ ID No.'s 128-129; SEQ ID No. 127; the group consisting of SEQ ID No.'s 131-133; the group consisting of SEQ ID No.'s 194-195; the group consisting of SEQ ID No.'s 135-136; the group consisting of SEQ ID No.'s 137-138; SEQ ID No. 139; the group consisting of SEQ ID No.'s 196-204; and the group consisting of SEQ ID No.'s 205-208, or variants of any of the foregoing sequences.

In certain embodiments, the peptide construct is selected from one of the following groups: the group consisting of SEQ ID No.'s 1-2, 11-36, 47-52; the group consisting of SEQ ID No.'s 140-141; the group consisting of SEQ ID No.'s 142-143; the group consisting of SEQ ID No.'s 144-146; SEQ ID No. 147; SEQ ID No. 148; SEQ ID No. 149; SEQ ID No. 150; SEQ ID No. 151; the group consisting of SEQ ID No.'s 152-154; SEQ ID No. 155; the group consisting of SEQ ID No.'s 156-157; the group consisting of SEQ ID No.'s 158-159; the group consisting of SEQ ID No.'s 160-165; the group consisting of SEQ ID No.'s 166-173; the group consisting of SEQ ID No.'s 174-176; the group consisting of SEQ ID No.'s 177-178; SEQ ID No. 179; SEQ ID No. 180; the group consisting of SEQ ID No.'s 181-182; SEQ ID No. 183; SEQ ID No. 184-185 and 209-210; and SEQ ID No. 186 and 211; SEQ ID No. 187; SEQ ID No. 188; SEQ ID No. 189; the group consisting of SEQ ID No.'s 212-216; and the group consisting of SEQ ID No.'s 217-217, or variants of any of the foregoing sequences.

One of ordinary skill in the art will appreciate that other aspects of this invention will become apparent upon reference to the following detailed description.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A through 1G represent flow cytometry data for bone marrow (BM) cells isolated from BALB/c mice. Each flow cytometry plot was collected from approximately 10⁶ bone marrow-derived dendritic cells (BMDC) cells. FIG. 1A represents two-dimensional data for forward scattering and side scattering of BMDCs; the boxed area represents the characteristics anticipated for dendritic cells. FIGS. 1B through 1G present one-dimensional flow cytometry data for cell surface markers of BMDCs detected by immunofluorescence (unshaded areas). FIG. 1B presents immunofluorescence data for the presence of CD3; FIG. 1C presents immunofluorescence data for the presence of CD19; FIG. 1D presents immunofluorescence data for the presence of CD11c; FIG. 1E presents immunofluorescence data for the presence of CD86; FIG. 1F presents immunofluorescence for the presence of Major Histocompatibility Complex II (MHC II); and FIG. 1G presents immunofluorescence for the presence of F4/80. In FIGS. 1B through 1G, shaded areas represent data collected using an appropriate isotype control antibody-fluorescent conjugate. The isotype control is an antibody conjugate of the same serological isotype labeled with the same fluorescent dye as the antibody recognizing a cellular surface or cytokine marker but with no binding activity to these cellular or cytokine markers.

FIGS. 2A through 2D represent flow cytometry data for more matured DCs after treatment with one or more LEAPS™ heteroconjugates or a control immunogen. FIG. 2A presents four separate one-dimensional flow cytometry data plots for cells surface markers CD80, MHC II, CD86 and CD11c for un-treated DCs (iDCs) as well as DCs treated with lipopolysaccharide (LPS) for 24-, 48- and 78-hour periods as indicated in the legend. Shaded data represent data collected using an appropriate isotype control antibody-fluorescent conjugate. FIGS. 2B through 2D represent analogous data for DCs treated with J-H (SEQ ID No. 37), J-NP (SEQ ID No. 1) and J-M2e (SEQ ID No. 2), respectively.

FIGS. 3A through 3C represent flow cytometry data for more matured DCs after treatment with one or more LEAPS™ heteroconjugates. FIG. 3A presents four separate one-dimensional flow cytometry data plots for cells surface markers CD80, MHC II, CD86 and CD11c for untreated DCs (iDCs) as well as DCs treated with J-HA1 (SEQ ID No. 12) for 24-, 48- and 78-hour periods as indicated in the legend. Shaded data represent data collected using an appropriate isotype control antibody-fluorescent conjugate. FIGS. 3B through 3C represent analogous data for DCs treated with J-HA2 (SEQ ID No. 11) and a combination of J-H, J-NP, J-M2e, J-HA1 and J-HA2, respectively.

FIGS. 4A through 4D represent flow cytometry data for more matured DCs after contact with a combination of J-H, J-NP, J-M2e, J-HA1 and J-HA2 for a period of 24 hours. Data representing an appropriate isotype control antibody-fluorescent conjugate and DCs not treated with a conjugate are also presented for reference. FIG. 4A represents data collected for cell surface marker CD80; Figure B represents data collected for cell surface marker CD11C; FIG. 4C represents data collected for cell surface marker MHC II; and FIG. 4D represents data collected for cell surface marker CD86.

FIG. 5 represents data for the level of viral load observed in lung tissue of mice infected with Type A influenza virus and sacrificed 3 days after treatment with LEAPS™ activated DCs or phosphate-buffer saline (PBS) control DCs. The viral load as measured by standard MDCK TCID₅₀ assay is presented for 5 individual mice treated with PBS, 5 individual mice treated with DCs that were not treated with a LEAPS™ heteroconjugate, and 5 individual mice treated with DCs that were treated with a LEAPS™ heteroconjugate. The mean virus level is represented by a horizontal bar.

FIG. 6 represents a Kaplan-Meier survival curve for Type A influenza-infected mice. Survival data are presented for a group of 10 individual mice treated with PBS, a group of 10 individual mice treated with DCs not treated with a LEAPS™ heteroconjugate (control animals), and a group of 10 individual mice treated with DCs that were treated with a LEAPS™ heteroconjugate (experimental animals). To further delineate the difference between the control animals and the experimental animals, the experiment was extended to 14 days. As all control animals (challenged but untreated) were dead by day 6, the experimental animals exhibited not just a slowing down of rate of disease progression where the curve endpoints for both groups would ultimately become equivalent, rather the experimental animals exhibited actual long term protection.

FIG. 7 represents a Kaplan-Meier survival curve for Type A influenza-infected mice. Survival data are presented for a group of 10 individuals treated starting at 8 hours post infection with DCs not treated with a LEAPS™ heteroconjugate' a group of 10 individuals treated starting at 8 hours post infection with DCs treated with a LEAPS™ heteroconjugate, a group of 10 individuals treated starting at 24 hours post infection with DCs not treated with a LEAPS™ heteroconjugate, and a group of 10 individuals treated starting at 24 hours post infection with DCs treated with a LEAPS™ heteroconjugate.

FIGS. 8A through 8D represent the daily weight for mice infected with Type A influenza. FIG. 8A represents the weight progression for a group of 10 individuals treated 8 hours post infection with DCs that were not treated with a LEAPS™ heteroconjugate. FIG. 8B represents the weight progression of a group of 10 individual mice treated starting at 8 hours post infection with DCs treated with a LEAPS™ heteroconjugate. FIG. 8C represents the weight progression of a group of 10 individual mice treated starting at 24 hours post infection with DCs not treated with a LEAPS™ heteroconjugate. FIG. 8D represents the weight progression of a group of 10 individual mice treated starting at 24 hours post infection with DCs treated with a LEAPS™ heteroconjugate.

FIGS. 9A through 9F represent flow cytometry data of labeled DCs administered to mice infected with Type A influenza and recovered from lung tissue 8 hours after administration of labeled DCs. DCs were labeled with 5 μM carboxyfluorescein succinimidyl ester (CSFE) for 30 minutes at 37° C., and flow cytometry data was collected for side scatter and CSFE fluorescence. FIGS. 9A through 9C represent flow cytometry data for cells extracted from lung tissue of individual mice treated with DCs that were not treated with a LEAPS™ heteroconjugate. FIGS. 9D through 9F represent flow cytometry data for cells extracted from lung tissue of individual mice treated with DCs treated with a LEAPS™ heteroconjugate.

FIGS. 10A through 10C show the distribution of labeled DCs in lung, spleen and lymph node tissue taken at 8 hours (FIG. 10A), 24 hours (FIG. 10B) and 48 hours (FIG. 10C) after administration to mice.

DETAILED DESCRIPTION OF THE INVENTION

The present invention provides LEAPS™ peptide conjugates useful for treatment or prevention of various infections. The novel heteroconjugates disclosed herein are based upon conserved, non-changing epitope sequences common to various strains of viruses, bacteria, rickettsia or parasites, as applicable, in order to minimize the chance of insufficient immunity due to mutation and minor strain variations. The use of LEAPS™ vaccine technology for immunization in animal models has been shown to provide protection from viral diseases without causing an immune response associated with the deadly “cytokine-storm” seen in some of the victims of viral infections in particular. The present invention also provides new approaches for detection and/or treatment that are suitable for use in treatment as well as in research, diagnostics, etc. Numerous other benefits will become apparent upon review of the following.

The present invention provides LEAPS™ peptide conjugates useful for treatment of Type A influenza. The novel heteroconjugates disclosed herein are based upon conserved, non-changing epitope sequences common to various strains of Type A Influenza viruses (H1N1, H5N1, H3N2, etc.), including “swine,” “avian” or “bird,” and “Spanish Influenza,” in order to minimize the chance of insufficient immunity due to mutation. The use of LEAPS™ vaccine technology for immunization in animal models has been shown to provide protection from viral diseases without causing an immune response associated with the deadly “cytokine-storm” seen in some of the victims of influenza. The present invention also provides new and/or newly isolated influenza hemagglutinin and neuraminidase fragments that are capable of use in production of numerous types of vaccines as well as in research, diagnostics, etc. Numerous other benefits will become apparent upon review of the following.

The present invention provides LEAPS™ peptide heteroconjugates useful for treatment of diseases such as influenza, HSV, other viruses, bacteria, rickettsia or parasitic infections and localization of these LEAPS™ heteroconjugate-activated DCs at the site of the ongoing disease or infection whether visualized by labeling with CFSE, a radioactive label such as ¹³¹I or ¹²⁵I, some other visualization means or as unlabeled DCs. The novel heteroconjugates disclosed herein are based upon conserved, non-changing epitope sequences common to the disease causing organism or virus (pathogen) or protein (or peptide) and are often or usually essential for its existence.

Definitions

Unless defined otherwise, all technical and scientific terms used herein generally have the same meaning as commonly understood by one of ordinary skill in the relevant art.

The articles “a” and “an” are used herein to refer to one or to more than one (i.e., to at least one) of the grammatical object of the article. By way of example, “an element” means one element or more than one element.

The term “adjuvant” refers to substance that accelerates, prolongs or enhances antigen-specific immune responses when used in combination with vaccine antigens.

The terms “administering,” “administer,” “delivering,” “deliver,” “introducing,” and “introduce” can be used interchangeably to indicate the introduction of a therapeutic or diagnostic agent into the body of a patient in need thereof to treat a disease or condition, and can further mean the introduction of any agent into the body for any purpose.

The term “antigen” refers to a substance or molecule that generates an immune response when introduced to the body or any molecule or fragment thereof now also refers to any molecule or molecular fragment that can be bound by a major histocompatibility complex (MHC).

The term “blood tissue” refers to cells suspended in or in contact with plasma.

The term “bone marrow cell” refers to any cell originating from the interior of bones.

The terms “CD80,” “CD86,” “CD11c, “CD85” and similar terms refer to cell surface molecules present on leukocyte cells through a nomenclature protocol maintained by Human Cell Differentiation Molecules (www.hcdm.org; Paris, France).

The term “comprising” includes the recited steps, elements, structures or compositions of matter and does not exclude any un-recited elements, structures or compositions of matter.

The term “consisting of” includes and is limited to whatever follows the phrase the phrase “consisting of.” Thus, the phrase indicates that the limited elements are required or mandatory and that no other elements may be present.

The phrase “consisting essentially of” includes any elements listed after the phrase and is limited to other elements that do not interfere with or contribute to the activity or action specified in the disclosure for the listed elements. Thus, the phrase indicates that the listed elements are required or mandatory but that other elements are optional and may or may not be present, depending upon whether or not they affect the activity or action of the listed elements.

A “dendritic cell” or “DC” refers to an antigen-presenting leukocyte that is found in the skin, mucosa, and lymphoid tissues and having a capability under appropriate conditions to initiate a primary immune response by activating T cells, lymphocytes and/or secreting cytokines.

The term “diagnostic” refers to any technique for determining the presence of any influenza viral infection or antigen in a subject.

The term “divalent linker” refers to any moiety having a structure forming a peptide bond to a first peptide moiety and forming a second bond to a second peptide moiety.

The term “effective amount” is an amount of a therapeutic which produces a therapeutic response, including an immune response, in the subject to which the therapeutic is administered.

The term “ex vivo” refers to an operation or procedure that is performed outside of the body of a patient or subject to be treated for an influenza viral disease. For example, an ex vivo procedure can be performed on living cells originating from the patient, subject or donor removed from the body.

The term “autologous” refers to a situation where the donor and recipient of cells, fluids or other biological sample or material is the same individual.

The term “homologous” refers to a situation where the donor are recipient of cells, fluids or other biological sample or material are not the same individual.

The term “Herpes simplex virus 1 and 2” (HSV-1 and HSV-2) refers to members of the family Herpesviridae of double-stranded DNA viruses. HSV-1 is associated with producing cold sores in humans and HSV-2 is associated with producing genital herpes.

The term “human T-lymphotropic virus Type I” (HTLV-1) refers to a human RNA retrovirus that causes T-cell leukemia and T-cell lymphoma in humans and other primates.

The terms “conjugate,” “conjugation” and similar terms refer to two species being spatially associated with each other by covalent linkage, non-covalent binding or by a combination of covalent linkage and non-covalent binding. For example, an antibody can be conjugated to an epitope through non-covalent binding to the epitope as well as the antibody serving to conjugate the epitope (such as a cell surface marker) to a compound that is linked to the antibody.

An “immature dendritic cell” is a “dendritic cell” in a state characteristic of immune cells prior to contact with an antigen and having a limited present ability to activate T cells, lymphocytes and/or to secrete cytokines; however, “immature dendritic cells” may acquire the ability to activate T cells, lymphocytes and secrete cytokines upon contact with an antigen.

The terms “immunomodulatory” and “immunoprotein” refer to a protein, peptide or cell having the ability to bind or interact with an immune cell to alter or to regulate one or more immune functions.

The term “infection” refers to the colonization in a host organism by a pathogenic influenza virus.

The term “Influenza virus” refers to an RNA virus from the Orthomyxoviridae family.

The term “influenza subtype” means an influenza virus having a specific sub-type of hemagglutinin protein (H) on the viral envelope and a specific sub-type of neuraminidase (N) as classified by the Centers for Disease Control and Prevention (Atlanta, Ga.).

The term “strain” as it relates to influenza virus refers to an influenza virus having a specific strain number as classified by the Centers for Disease Control and Prevention (Atlanta, Ga.), wherein the strain number can include an identifier that incorporates information or identification of the site or location where the specific strain was found, features of the sub-types of the hemagglutinin (H) and neuraminidase (N) proteins and the year of isolation or passage.

The term “multi-strain influenza vaccine” means a vaccine that is active in conferring immunity to multiple (usually only 3 to 4 on 1-9 different H and 1-9 different N proteins) strains of type A influenza virus that have accumulated genetic drift between strains. For example, a multi-strain influenza vaccine may, in some embodiments, confer immunity to influenza strains having 3 or 4 or more different hemagglutinin (H) and neuraminidase (N) protein sub-types as classified by the Centers for Disease Control and Prevention (Atlanta, Ga.).

The term “multi-subtype influenza vaccine” means a vaccine that is active in conferring immunity to multiple (usually only 3 to 4 on 1-9 different H and 1-9 different N proteins) strains of type A influenza virus that have accumulated genetic drift between strains. For example, a multi-strain influenza vaccine may, in some embodiments, confer immunity to influenza strains having 3 or 4 or more different hemagglutinin (H) and neuraminidase (N) protein sub-types as classified by the Centers for Disease Control and Prevention (Atlanta, Ga.).

The term “Interleukin 12p70” refers to a cytokine produced by dendritic cells capable of directing the development of lymphocytes in a Th1 immune response, and possessing two peptides of approximately 40 kd and 35 kd in size.

The terms “isolated matured dendritic cells” or “isolated dendritic cells” refer to dendritic cells suspended in a liquid medium, a cell culture or a composition wherein at least 50% of the viable cells present in the liquid medium, the cell culture or the composition are dendritic cells or monocytes.

An “isotype control” is an antibody having the same serological structure and can have a fluorescent conjugate dye as an antibody conjugate having affinity for a cellular surface or cytokine marker, except the isotype control does not have affinity for the cellular surface or cytokine marker.

A “heteroconjugate” refers to a protein or peptide containing at least two amino acid sequences covalently linked to form a single molecule, wherein two sequences originate or are homologous to proteins expressed by different genes.

The term “maturation” refers to a process for generating a “matured dendritic cell.”

The terms “matured dendritic cell,” “maturated dendritic cell,” “activated dendritic cell” or “effective dendritic cell” refer to a “dendritic cell” in a state characteristic of cells after contact with an antigen and having a present ability to initiate a primary immune response by activating T cells, lymphocytes and/or secreting cytokines.

The term “MDCK” refers to the Madin-Darby canine kidney epithelial cell line.

The term “monocyte” refers to immune cells produced by bone marrow and haematopoietic stem cell having the ability to differentiate into macrophages or dendritic cells.

The term “magnetic resonance imaging” refers to any technique where information is collected from the exposure of a subject or sample to a magnetic field.

The terms “H1N1,” “H5N1,” “H7N3,” “H9N2,” and similar terms refer to specific subtypes of influenza Type A virus, where the numeral after “H” designates a type of hemagglutinin protein on the viral envelope and the numeral after “N” designates a type of neuraminidase as classified by the Centers for Disease Control and Prevention (Atlanta, Ga.).

The terms “originating” and “derived” as related to a peptide sequence refers to an organism or cell type that produces a protein containing the peptide sequence.

The term “TCID₅₀” refers to the median tissue culture infective dose of a pathogenic agent that produces pathological change in 50% of cell cultures inoculated.

The terms “peptide” and “peptide construct” refer to a molecule including two or more amino acid residues linked by a peptide bond. The term “peptide” includes molecular species where only part of the molecule has peptide character and/or where two parts of the molecular species formed of peptide bonds are covalently linked by a divalent linker.

The term “phenotype” as relating to the phenotype of immune cells refers to any observable characteristic or trait of a cell such as its morphology, development, biochemical or physiological properties including the expression or presence of specific cell surface proteins or markers.

The term “poliovirus” refers to a human enterovirus and member of the family Picornaviridae with a single-stranded, positive-sense RNA genome. Poliovirus is associated with causing poliomyelitis also known as infantile paralysis.

The term “prophylactic” or “prophylactically” refers to a method or use of a peptide, cells or biological matter in a manner to prevent the onset or occurrence of a disease or infection including use as a vaccine.

The term “red blood cells” refers to erythrocytes having an intact phospholipid bilayer membrane.

The term “rickettsia” refers to bacteria that are obligate intracellular parasites that have a cell well and are typically gram-negative.

The term “subject” or “patient” refers to an animal, including mice and humans, to which a therapeutic agent is administered.

The term “systemic immune response” refers to an immune response where antibodies, cytokines or immune cells generated by the immune response are detectable throughout the circulatory and lymph systems of the body.

The term “T cell” refers to a lymphocyte having a T cell receptor protein on the surface of the cell.

“Type A influenza virus” refers to an RNA virus from the Orthomyxoviridae family characterized by the presence of at least three membrane proteins on the viral envelope: hemagglutinin, Neuraminidase and M2 proton-selective ion channel protein.

The terms “treating” and “treatment” as related to treating or treatment of immune cells refers to bringing an immune cell into contact with a substance or composition for a time period sufficient to cause a change in phenotype. The term “vaccine” refers to composition containing one or more antigens that stimulates an immune response when administered to an organism in vivo.

The term “virus” refers to a small infectious agent that can replicate only inside the living cells of another organism or host through the use of some of the host's own cellular machinery (e.g. ribosomes) for growth and replication. Viruses outside of the host cells are formed from a nucleic acid with an associated protein coat.

Structure of Immunomodulatory LEAPS™ Heteroconjugates

The peptide constructs disclosed herein are based on LEAPS™ technology and are conjugates of two peptides which are linked together covalently. The peptide constructs can be synthesized artificially using solid-phase synthesis or other synthetic technique or expressed using recombinant DNA technology. The two peptides can be synthesized separately and joined covalently or can be synthesized or expressed as a single construct. The LEAPS™ heteroconjugates are formed by joining a Peptide P₁ and a Peptide P₂ originating from different species by a linker “-x-,” such that the heteroconjugate has the structure P₁-x-P₂ or P₂-P₁. A first peptide (hereinafter may be referred to as Peptide P₁) of the conjugate is a portion of an immunoprotein capable of promoting binding to a class or subclass of dendritic cells (DCs) or T cells and is referred to as an immune cell binding ligand (ICBL). Without wishing to be bound by any particular theory, it is believed that Peptide P₁ has a structure for promoting interaction and/or binding with specific surface receptors present on DCs. Peptide P₁ can be a peptide sequence derived from Major Histocompatibility Complex (MHC) I or II. A more detailed discussion of the Peptide P₁ and peptide conjugates involved with LEAPS™ technology can be found in U.S. Pat. No. 5,652,342, which is incorporated herein by reference.

A second peptide (hereinafter may be referred to as Peptide P₂) is a specific antigen peptide derived from a virus or infecting agent such as Type A influenza or other virus, parasite, bacteria or infectious agent. As described, the sequence of Peptide P₂ is associated with sequences with a low-degree of variability between strains of viruses and can be identical to sequences present across several strains of the particular virus, bacteria, rickettsia, parasite, etc. In particular for Type A influenza virus, the sequence of Peptide P₂ can be identical to sequences present across several strains of influenza virus, e.g. H1N1, H5N1, H7N3, H9N2, etc. Without wishing to be bound by any particular theory, it is believed that the antigen Peptide P₂ being covalently bound to the ICBL Peptide P₁ allows for a more effective recognition of the antigen Peptide P₂ by the immune system and specific immune cells. Peptide epitopes having a limited number of amino acid residues have sufficient structure to be bound by an antibody or an MHC molecule with a high degree of specificity. However, peptide epitopes of limited size are less competent to cross-link immunoglobulins to cause lymphocyte activation and/or to be effectively displayed to T cells to stimulate cellular or humoral immune response. As such, small peptide epitopes introduced into a subject may produce a poor immune response. In the LEAPS™ heteroconjugates disclosed herein, the antigen Peptide P₂ is covalently bound to ICBL Peptide P₁ or other immunomodulatory peptide having the capability to bind to molecules present on the surface of dendritic cells or monocytes. Once bound to the surface of a dendritic cell, the antigen Peptide P₂ can then be recognized by local T cell receptor (TCR) or Major Histocompatibility Complex (MHC) molecules to trigger a corresponding immune response and immune recognition of the antigen Peptide P₂. Through such a mechanism, a latter challenge with a competent Type A influenza virus will generate a secondary immune response in a subject previously administered one or more of the peptide constructs disclosed herein. Further, the LEAPS™ heteroconjugates described herein can be used to stimulate an immune response and increase survivability in subjects having an active infection such as with influenza virus.

In certain embodiments the Peptide P₂ can be derived from disease causing organism or agents, for example, viruses, bacteria, rickettsia or parasites. Example disease causing organisms, viruses, parasites, etc. include adeno-virus, hepatitis C virus (HCV), hepatitis B virus (HBV), human papilloma virus (HPV), human T-lymphotropic virus 1 (HTLV-1), respiratory syncytial virus (RSV), vaccinia virus, West Nile virus (WNV), polyomavirus, human T-lymphotropic virus 2 (HTLV-2), cytomegalovirus (CVM), Epstein-Barr virus (EBV), Kaposi's sarcoma-associated herpes virus (HSV-VIII), varicella zoster virus (VZV), herpes simplex 1 virus (HSV-1), herpes simplex 2 virus (HSV-2), poliovirus type 3 included strains P3/LEON/37 and PS/LEON/12A[1]B, human polio virus 1 Mahoney, tuberculosis, Lyme disease (caused by bacteria Borrelia burgdorferi), stomach diseases caused by bacteria Helicobacter pylori (H. pylori), Chlamydia, malaria, and Treponema pallidum.

In the LEAPS™ heteroconjugates disclosed herein, the antigen Peptide P₂ is covalently bound to ICBL Peptide P₁ or other immunomodulatory peptide having the capability to bind to molecules present on the surface of dendritic cells or monocytes. Once bound to the surface of a dendritic cell, the antigen Peptide P₂ can then be recognized by local T cell receptor (TCR) or Major Histocompatibility Complex (MHC) molecules to trigger a corresponding immune response and immune recognition of the antigen Peptide P₂. Through such a mechanism, a latter challenge with a disease-causing agent will generate a secondary immune response in a subject previously administered one or more of the peptide constructs disclosed herein. Further, the LEAPS™ heteroconjugates described herein can be used to stimulate an immune response and increase survivability in subjects having an active infection.

A further aspect of the LEAPS™ heteroconjugates disclosed herein is that the extent of pro-inflammatory or inflammatory cytokines produced during the immune response to the peptide constructs is reduced relative to levels typically associated with larger antigen proteins containing many different epitope sequences. Further, a Th1 type of immune response or a Th2 type of immune response may be promoted based upon the identity of the ICBL Peptide P₁ conjugated with the antigen Peptide P₂.

A further aspect of the LEAPS™ heteroconjugates disclosed herein is that the heteroconjugates can be treated or contacted with dendritic cells isolated from a subject or donor under conditions where the dendritic cells differentiate into more matured immune cells capable of directing immunity toward influenza virus. The matured dendritic cells increase resistance against influenza infection when administered to the subject.

LEAPS™ Heteroconjugates

Specifically, the novel peptides of this invention include peptide constructs of the following Formulae (I) and (II): P₁-x-P₂  (I) P₂-x-P₁  (II) where P₂ is a peptide derived with Type A influenza, which will bind to an antigen receptor on a set or subset of dendritic cells or T cells; P₂ is an immune response modifying peptide, which will cause a directed immune response by said set or subset of T cells or dendritic cells to which the peptide P₁ is attached and initiate an immune response focused on IL-12 without or with low levels of pro-inflammatory or inflammatory cytokines (Patricia R Taylor; Christopher A Paustian, Gary K Koski, Daniel H Zimmerman, K S Rosenthal, Maturation of dendritic cell precursors into IL12 producing DCs by J-LEAPS, Cellular Immunology, 2010; 262:1-5; Taylor P R, G K Koski, C C Paustian, P A Cohen, F B-G Moore, D H Zimmerman, K S Rosenthal, J-L.E.A.P.S.™ Vaccines Initiate Murine Th1 Responses By Activating Dendritic Cells, Vaccine 2010; 28:5533-4, both of which are incorporated herein by reference). As shown in Formulae (I) and (II), the Peptide P₁ can be N-terminal or C-terminal to the Peptide P₂.

In certain embodiments, the Peptide P₁ contains an ICBL termed “J” or “Peptide J.” Peptide J is derived from amino acids 38-50 from the β-2-microglobulin chain of the MHC I molecule (DLLKNGERIEKVE) (SEQ ID No. 3). ICBL Peptide J is believed to promote Th1-type immune responses to the coupled antigen P₂ peptide, but is not limited to such activity.

In certain embodiments, the Peptide P₁ of the peptide constructs contains an ICBL termed “CEL-1000” (DGQEEKAGVVSTGLI) (SEQ ID No. 4). The CEL-1000 peptide is derived from the β-chain of MHC II (MHC II (3134-148) and binds to murine as well as human CD4+ cells. The chemical structure of conjugated peptides containing CEL-1000 can have an amidated carboxyl terminal, (amino)-DGQEEKAGVVSTGLI-(amide) (SEQ ID No. 5). CEL-1000 can be prepared by F-MOC chemistry and purified by Reverse Phase (RP)-HPLC, analyzed by another RP-PLC system, ion exchange chromatography (IEC)-HPLC as well as mass spectroscopy. Based on site directed mutagenesis studies of MHC II β-chain and/or peptide competition studies, peptides such as CEL-1000, were shown to bind to CD4, a T cell co-stimulator molecule (Charoenvit et al., A small peptide derived from human MHC β2 chain induces complete protection against malaria in an antigen-independent manner, Antimicrobial Agents and Chemotherapy, July 2004; 48(7):2455-63; Cammarota et al., Identification of a CD4 binding site on the beta 2 domain of HLA-DR molecules, Nature, 1992; 356:799-801) and cell surface protein on some Dendritic Cell (DCs) (Konig, et al., MHC class II interaction with CD4 medicated by a region analogous to the MHC class I binding site for CD8, Nature, 1992; 356:796-798; Shen X. and Konig R., “Regulation of T cell immunity and tolerance in vivo by CD4”, Int. Immunol., 1998 10:247-57; Shen X. et al., Peptides corresponding to CD4-interacting regions of murine MHC class II molecules modulate immune responses of CD4+ T lymphocytes in vitro and in vivo, J Immunol., 1996; 157:87-100, all of which are incorporated herein by reference).

In certain embodiments, the Peptide P₁ contains an ICBL termed “G” or “Peptide G.” Peptide G has the sequence NGQEEKAGVVSTGLI (SEQ ID No. 6) derived from the MHC-II beta 2 chain (Zimmerman et al., A new approach to T cell activation: natural and synthetic conjugates capable of activating T cells, 1996, Vacc. Res., 1996; 5:91, 5:102; Rosenthal et al., Immunization with a LEAPS™ heteroconjugate containing a CTL epitope and a peptide from beta-2-microglobulin elicits a protective and DTH response to herpes simplex virus type 1, 1999, Vaccine, 1999; 17(6):535-542, both of which are incorporated herein by reference).

In certain embodiments, the Peptide P₁ contains an ICBL termed “IL-1β” or “Peptide IL-1β.” Peptide IL-1β has the sequence VQGEESNDK (SEQ ID No. 40) derived from the human interleukin-1β chain (e.g., Bajpai et al., Immunomodulating activity of analogs of noninflammatory fragment 163-171 of human interleukin-lbeta 1998 Immunopharmacology, 38:237, incorporated herein by reference).

Novel epitope sequences that can serve as the antigen P₂ peptide and conjugated with the ICBL Peptide P₁ to form a LEAPS™ heteroconjugate will now be described. In certain embodiment, the Peptide P₂ is derived from nucleoprotein of the Type A influenza virus (NP-A), NDATYQRTRALVRTG (SEQ ID No. 7). In certain embodiments, the Peptide P₂ is derived from the matrix 2 ectodomain (M2e) of the A virus, SLLTEVETPIRNEWGCRCNDSSD (SEQ ID No. 8). In certain embodiments, the Peptide P₂ is derived from the hemagglutinin monomer 2 core 1 protein (HA2 core 1), GLFGAIAGFIEGG (SEQ ID No. 10). In certain embodiments, the Peptide P₂ is derived from the HA2 domain of the hemagglutinin protein (HA2 core 2), LKSTQNAIDEITNKVN (SEQ ID No. 9).

In certain embodiments, the novel epitope sequence is selected from one of SEQ ID No.'s 7-10. In some embodiments, the novel epitope sequences that can serve as the antigen P₂ peptide and conjugated with the ICBL Peptide P₁ to form a LEAPS™ heteroconjugate can be selected from YLEEHPSAGKDPKKTGGPIY (SEQ ID No. 41) from influenza nucleoprotein and TGTFEFTSFFYRYGFVANF (SEQ ID No. 43) from influenza polymerase protein 1 (PB1). In further embodiments, the novel epitope sequences that can serve as the antigen P₂ peptide can be selected from AQNAISTTFPYTGDPPY (SEQ ID No. 42), VERLKHGTFGPVHFRNQVKI RR (SEQ ID No. 44), RNDDVDQSLI IAARNIVRRA (SEQ ID No. 45), HQLLRHFQKD AKVLF (SEQ ID No. 46). See Reference number 5 (Tan et al.) below.

A LEAPS™ heteroconjugate having immunomodulatory effects toward an infectious or other disease causing agent such as influenza virus is contemplated containing any combination of sequences selected from embodiments of Peptide P₁ and Peptide P₂ having the structure of one of Formulae (I) and (II), as described above. In Formulae (I) and (II), -x- represents a covalent bond or a divalent peptide linking group providing a covalent linkage between Peptide P₁ and Peptide P₂. In certain embodiments, -x- is a divalent peptide linking group having one or more glycine residues, such as the divalent linking group -GGG- or -GG-. In order to avoid synthesis of peptides having four glycine residues in a row, which may be difficult to synthesize, a linking group of -GG- can be used.

In certain embodiments, the divalent linking group is not limited to any particular identity so long as the linking group -x- serves to covalently attach the Peptide P₁ and Peptide P₂ as shown in Formulae (I) and (II). The linking group -x- can contain one or more amino acid residues or a bifunctional chemical linking group, such as, for example, N-succinimidyl-3-(2-pyridyldithio)propionate (SPDP), m-maleimidobenzoyl-N-hydroxy-succimide ester (MBS), or 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDC). In certain embodiments, the linking group -x- can be a direct peptide or other covalent bond directly coupling Peptide P₁ and Peptide P₂. In certain embodiments where the linking group -x- contains amino acid residues, the linking group -x- can contain from 1 to about 5 amino acid residues or from 1 to about 3 amino residues. In certain embodiments, the linking group -x- can be cleavable or non-cleavable under physiological conditions.

The LEAPS™ heteroconjugates of Formulae (I) and (II) can be modified including modifications to the N- or C-terminal of the heteroconjugates. The LEAPS™ heteroconjugates described by Formulae (I) and (II) contain a sequence of amino acid residues consistent with the described Peptide P₁ and Peptide P₂. However, the N- or C-terminal of the described LEAPS™ heteroconjugates can be modified by any one or more of amidation or acylation, including myristoylation.

In certain embodiments, Peptides P₁ and P₂ include variants of any sequence disclosed herein. A variant is herein defined as a sequence wherein 1, 2, 3, 4 or 5 amino acid residues of sequence disclosed herein are replaced with a different amino acid residue without affecting the ability of the LEAPS™ heteroconjugates to stimulate an immune response against an infectious agent. In certain embodiment, variants have amino acid residues substituted in a conserved manner. In certain other embodiments, variants have amino acid residues substituted in a non-conserved manner. Variants include amino acid sequences where 1, 2, 3, 4 or 5 amino acid residues are deleted from the sequences and/or 1, 2, 3, 4 or 5 amino acid residues are added to the sequences. Variants include embodiments where combinations of conserved or non-conserved substitutions, additions and/or deletions are made to a sequence. In certain embodiments, Peptides P₁ and P₂ include variants of SEQ ID No.'s 1-36 and 41-52. A variant is herein defined as a sequence wherein 1, 2, 3, 4 or 5 amino acid residues of any of SEQ ID No.'s 1-36 and 41-52 or any other sequence disclosed herein are replaced with a different amino acid residue without affecting the ability of the LEAPS™ heteroconjugates to stimulate an immune response against Type A influenza virus. In certain embodiments, variants to SEQ ID No.'s 1-36 and 41-52 have amino acid residues substituted in a conserved manner. In certain other embodiments, variants to SEQ ID No.'s 1-36 and 41-52 or any other sequence disclosed herein have amino acid residues substituted in a non-conserved manner. Variants to SEQ ID No.'s 1-36 and 41-52 or any other sequence disclosed herein include amino acid sequences where 1, 2, 3, 4 or 5 amino acid residues are deleted from the sequences and/or 1, 2, 3, 4 or 5 amino acid residues are added to the sequences. Variants include embodiments where combinations of conserved or non-conserved substitutions, additions and/or deletions are made to a sequence.

A conserved substitution is a substitution where an amino acid residue is replaced with another amino acid residue having similar charge, polarity, hydrophobicity, chemical functionality, size and/or shape. Substitution of an amino acid residue in any of the following groups with an amino acid residue from the same group is considered to be a conserved substitution: 1) Ala and Gly; 2) Asp and Glu; 3) Ile, Leu, Val and Ala; 4) Lys, Arg and His; 5) Cys and Ser; 6) Phe, Trp and Tyr; 7) Phe and Pro; 8) Met and Nle (norleucine); 9) Asn and Gln; and 10) Thr and Ser.

Table 1 shows exemplary LEAPS™ heteroconjugates consistent with Formulae (I) and (II), including permutations of constructs of CEL-1000, Peptide J and Peptide G (Peptides P₁) with the NP and M2e, HA2 core 1 and HA2 core 2 epitope peptides (Peptides P₂), as described above. Those skilled in the art will recognize that other constructs can be formed substituting for Peptide P₁ and Peptide P₂ where the examples on Table 1 are merely illustrative and are not limiting.

TABLE 1 Exemplary LEAPS™ Heteroconjugates for Influenza virus DLLKNGERIEKVEGGGNDATYQRTRALVRTG  1 DLLKNGERIEKVEGGGSLLTEVETPIRNEWGCRCNDSSD  2 DLLKNGERIEKVEGGGLKSTQNAIDEITNKVN 11 DLLKNGERIEKVEGGGGLFGAIAGFIEGG 12 DGQEEKAGVVSTGLIGGGLKSTQNAIDEITNKVN 13 DGQEEKAGVVSTGLIGGGGLFGAIAGFIEGG 14 DGQEEKAGVVSTGLIGGGNDATYQRTRALVRTG 15 DGQEEKAGVVSTGLIGGGSLLTEVETPIRNEWGCRCNDSSD 16 LKSTQNAIDEITNKVNGGGDLLKNGERIEKVE 17 LKSTQNAIDEITNKVNGGGDGQEEKAGVVSTGLI 18 GLFGAIAGFIEGGGGDLLKNGERIEKVE 19 GLFGAIAGFIEGGGGDGQEEKAGVVSTGLI 20 SLLTEVETPIRNEWGCRCNDSSDGGGDLLKNGERIEKVE 21 SLLTEVETPIRNEWGCRCNDSSDGGGDGQEEKAGVVSTGLI 22 NDATYQRTRALVRTGGGGDLLKNGERIEKVE 23 NDATYQRTRALVRTGGGGDGQEEKAGVVSTGLI 24 DLLKNGERIEKVEGGGLFGAIAGFIEGG 25 DGQEEKAGVVSTGLIGGGLFGAIAGFIEGG 26 NDATYQRTRALVRTGGGDLLKNGERIEKVE 27 NDATYQRTRALVRTGGGDGQEEKAGVVSTGLI 28 NGQEEKAGVVSTGLIGGGNDATYQRTRALVRTG 29 NGQEEKAGVVSTGLIGGGSLLTEVETPIRNEWGCRCNDSSD 30 NGQEEKAGVVSTGLIGGGLKSTQNAIDEITNKVN 31 NDATYQRTRALVRTGNGQEEKAGVVSTGLI 32 SLLTEVETPIRNEWGCRCNDSSDNGQEEKAGVVSTGLI 33 LKSTQNAIDEITNKVNNGQEEKAGVVSTGLI 34 GLFGAIAGFIEGGGDLLKNGERIEKVE 35 GLFGAIAGFIEGGGDGQEEKAGVVSTGLI 36 DLLKNGERIEKVEGGGYLEEHPSAGKDPKKTGGPIY 47 DLLKNGERIEKVEGGGAQNAISTTFPYTGDPPY 48 DLLKNGERIEKVEGGGTGTFEFTSFFYRYGFVANF 49 DLLKNGERIEKVEGGGVERLKHGTFGPVHFRNQVKIRR 50 DLLKNGERIEKVEGGGRNDDVDQSLIIAARNIVRRA 51 DLLKNGERIEKVEGGGHQLLRHFQKDAKVLF 52

Table 1 presents exemplary LEAPS™ heteroconjugates using antigens (Peptide P₂) derived from Type A influenza virus. Table 2 presents antigen sequences, either as a core epitope or as an extended region, useful for making LEAPS™ heteroconjugates, along with other information and references about these epitopes. Further, LEAPS™ heteroconjugates incorporating an antigen sequence from Table 2, including antigens derived from Type A influenza, can be used to treat DCs to form matured DCs ex vivo, as will be described below. Such LEAPS™ heteroconjugate-treated DCs can be transferred to a subject to confer resistance, immunity, or to treat an active or acute infection caused by an influenza virus. Such LEAPS™ heteroconjugate-treated DCs also have the unexpected property to localize in a region of the body where a source of antigen originating from an influenza virus can be found.

Table 2 shows exemplary antigens described that can be employed as peptide P₂ in certain embodiments. LEAPS™ heteroconjugates consistent with Formulae (I) and (II) can be formed by combining any permutation of ICBL peptide including, but not limited to, CEL-1000, Peptide J and/or Peptide G (Peptides P₁) with an antigen peptide (Peptide P₂) as presented in Table 2. Specifically, the first column of Table 2 lists the SEQ ID No. for the sequence presented in each row. The second column specifies the protein from which the individual amino acid sequences are derived. The third column gives the abbreviation for which the sequence presented in each row can be referred to. Also provided on Table 2 are example LEAPS™ heteroconjugates where Peptide P₁ is Peptide J (SEQ ID No. 3) combined with an antigen Peptide P₂. The fourth column specifies the core epitope sequence, if any, for the protein described in each row, and the fifth column specifies an extended epitope sequence associated with the protein described in each row. The sixth column indicates the range of amino acids from the described protein corresponding to the epitope sequence. The seventh column presents a non-limiting example LEAPS™ heteroconjugate containing Peptide J. The eighth column lists any know references describing the extended or core epitope sequences, if known. References are specified by a number corresponding to the list of references found at the end of this disclosure.

TABLE 2 Influenza antigen sequences and example LEAPS™ heteroconjugates Seq Protein Core ID No. Candidates Abbreviation Epitope Extended region Nucelo protein NP1 NA  7 NA NDATYQRTRALVRTG  1 J-NP1 NA Matrix 2 e M2e NA  8 (ectodomain NA SLLTEVETPIRNEWGCRCNDSSD  2 protein J-M2e NA Hemagglutin HA2-1 NA 10 protein HA2-1 fus NA GLFGAIAGFIEGG 12 J-HA1 NA Hemagglutin HA2-2 NA  9 protein NA LKSTQNAIDEITNKVN 11 J-HA2 NA Nucleoprotein 41 NP78 NA YLEEHPSAGKDPKKTGGPIY 47 J-NP78 Polymerase B1 42 PB1-14 NA AQNAISTTFPYTGDPPY 48 J-PB1-14 NA Polymerase B1 43 PB1-487 NA TGTFEFTSFFYRYGFVANF 49 J-PB1-487 NA Polymerase B2 44 PB2-122 VERLKHGTFGPVHFRNQVKIRR 50 J-PB2-122 NA Polymerase B2 45 PB2-251 NA RNDDVDQSLIIAARNIVRRA 51 J-PB2-251 NA Polymerase B2 46 PB2-432 NA HQLLRHFQKDAKVLF 52 J-PB2-432 NA Seq Amino ID No. Acid J LEAPS Conjugate Ref. NA 1  7 144-161 NA  1 NA DLLKNGERIEKVEGGGNDATYQRTRALVRTG NA 2  8   1-23 NA  2 NA DLLKNGERIEKVEGGGSLLTEVETPIRNEWGCRC NDSSD NA 3 10 NA 12 NA DLLKNGERIEKVEGGGGLFGAIAGFIEGG NA 4  9 NA 11 NA DLLKNGERIEKVEGGGLKSTQNAIDEITNKVN 41  78-97 5 47 NA DLLKNGERIEKVEGGGYLEEHPSAGKDPKKT GGPIY 42  14-30 5 48 NA DLLKNGERIEKVEGGGAQNAISTTFPYTGDPPY 43 487-505 5 49 NA DLLKNGERIEKVEGGGTGTFEFTSFFYRYGFVANF 44 122-143 5 50 DLLKNGERIEKVEGGGVERLKHGTFGPVHFRNQ VKIRR 45 251-270 5 51 DLLKNGERIEKVEGGGRNDDVDQSLIIAARNI VRRA 46 432-446 5 52 DLLKNGERIEKVEGGGHQLLRHFQKDAKVLF

Table 3 shows exemplary LEAPS™ heteroconjugates consistent with Formulae (I) and (II), including exemplary LEAPS™ heteroconjugates formed by linking Peptide J to various infectious disease antigens in addition to Influenza virus. Those skilled in the art will recognize that other constructs can b_(e) formed substituting for Peptide P₁ and Peptide P₂ where the examples on Table 3 are merely illustrative and are not limiting.

Table 3 present antigen sequences, either as a core epitope or as an extended region, useful for making LEAPS™ heteroconjugates. The antigen sequences useful as serving as Peptide P₂ in Formulae (I) and (II), described above, are derived from several viruses, bacteria and parasites including adeno-virus, hepatitis C viru_(s) (HCV), hepatitis B virus (HBV), human papilloma virus (HPV), h_(u)man T-lymphotropic virus 1 (HTLV-1), respiratory syncytial virus (RSV), vaccinia virus, West Nile virus (WNV), polyomavirus, human T-lymphotropic virus 2 (HTLV-2), cytomegalovirus (CMV), Epstein-Barr virus (EBV), Kaposi's sarcoma-associated herpes virus (HSV-VIII), varicella zoster virus (VZV), herpes simplex 1 virus (HSV-1), herpes simplex 2 virus (HSV-2), poliovirus type 3 included strains P3/LEOM/37 and PS/LEON/12A[1]B, human polio virus 1 Mahoney, tuberculosis, Lyme disease, Chlamydia, malaria, Helicobacter pylori (H. pylori) for stomach diseases and ulcers, and Borrelia burgdorferi (B. burgdorferi) causing Lyme disease and Treponema pallidum. The antigen sequences described on Table 3 are useful for forming LEAPS™ heteroconjugates that can confer increase resistance or immunity to the viruses, bacteria or parasites from which the specific antigen sequences originate, or can be used to treat an active or acute infection in a subject.

Further, LEAPS™ heteroconjugates incorporating an antigen sequence from Tables 1 and 3, including antigens can be used to treat DCs to form matured DCs ex vivo, as will be described below. Such LEAPS™ heteroconjugate-treated DCs can be transferred to a subject to confer resistance, immunity or to treat an active or acute infection caused by a virus, bacteria or parasite. Such LEAPS™ heteroconjugate-treated DCs also have the unexpected property to localize in a region of the body where a source of antigen originating from a virus, bacteria or parasite can be found. Many disease causing substances and organisms, including bacteria, can be present in the body in a quiescent phase or condition that does not cause any active symptoms. In particular, certain viruses can even be incorporated into the host genome with a period of years or decades between expression or have very low levels of antigen expression. For example, HSV-I, HSV-II, EBV, CMV, VZV, HSV-VI, HSV-VIII, polio, HTLV-I, HTLV-II, Human immunodeficiency virus (HIV), mumps, RSV and perhaps H. pylori and B. burgdorferi are suspected to have the capability to enter a long-term quiescent phase with the possibility of later emergence of symptoms or lower level of activity. As will be described in the Examples, LEAPS™ heteroconjugate-treated DCs have the capability to localize to location where sources of antigen can be found. As such, LEAPS™ heteroconjugate-treated DCs can be used to diagnose the presence of viruses that are in a quiescent phase and otherwise difficult to detect.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 53-56 to form a heteroconjugate capable of modulating an immune response to Adeno-virus or to mature DCs having the capability to modulate an immune response to Adeno-virus. Exemplary LEAPS™ heteroconjugates specific to Adeno-virus include, but are not limited to, SEQ ID No.'s 140-141.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 57-60 to form a heteroconjugate capable of modulating an immune response to hepatitis C virus or to mature DCs having the capability to modulate an immune response to hepatitis C virus. Exemplary LEAPS™ heteroconjugates specific to hepatitis C virus include, but are not limited to, SEQ ID No.'s 142-143.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 61-64 to form a heteroconjugate capable of modulating an immune response to hepatitis B virus or to mature DCs having the capability to modulate an immune response to hepatitis B virus. Exemplary LEAPS™ heteroconjugates specific to hepatitis B virus include, but are not limited to, SEQ ID No.'s 144-146.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 65-66 to form a heteroconjugate capable of modulating an immune response to human papilloma virus or to mature DCs having the capability to modulate an immune response to human papilloma virus. An exemplary LEAPS™ heteroconjugates specific to human papilloma virus includes, but is not limited to, SEQ ID No. 147.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 67-68 to form a heteroconjugate capable of modulating an immune response to HTLV-1 or to mature DCs having the capability to modulate an immune response to HTLV-1 virus. An Exemplary LEAPS™ heteroconjugates specific to HTLV-1 includes, but is not limited to, SEQ ID No. 148.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 69-70 to form a heteroconjugate capable of modulating an immune response to RSV or to mature DCs having the capability to modulate an immune response to RSV. An exemplary LEAPS™ heteroconjugate specific to RSV includes, but is not limited to, SEQ ID No. 149.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 71-72 to form a heteroconjugate capable of modulating an immune response to vaccinia virus or to mature DCs having the capability to modulate an immune response to vaccinia virus. An exemplary LEAPS™ heteroconjugate specific to vaccinia virus includes, but is not limited to, SEQ ID No. 150.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 73-74 to form a heteroconjugate capable of modulating an immune response to West Nile virus or to mature DCs having the capability to modulate an immune response to West Nile virus. An exemplary LEAPS™ heteroconjugate specific to West Nile virus includes, but is not limited to, SEQ ID No. 151.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 75-80 to form a heteroconjugate capable of modulating an immune response to polyomavirus or to mature DCs having the capability to modulate an immune response to polyomavirus. Exemplary LEAPS™ heteroconjugates specific to polyomavirus include, but are not limited to, SEQ ID No.'s 152-154.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 81-82 to form a heteroconjugate capable of modulating an immune response to HTLV-2 or to mature DCs having the capability to modulate an immune response to HTLV-2. An exemplary LEAPS™ heteroconjugate specific to HTLV-2 includes, but is not limited to, SEQ ID No. 155.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 83-86 to form a heteroconjugate capable of modulating an immune response to cytomegalovirus or to mature DCs having the capability to modulate an immune response to cytomegalovirus. Exemplary LEAPS™ heteroconjugates specific to cytomegalovirus include, but are not limited to, SEQ ID No.'s 156-157.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 87-90 to form a heteroconjugate capable of modulating an immune response to EBV or to mature DCs having the capability to modulate an immune response to EBV. Exemplary LEAPS™ heteroconjugates specific to EBV include, but are not limited to, SEQ ID No.'s 158-159.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 91-99 to form a heteroconjugate capable of modulating an immune response to HSV-VIII or to mature DCs having the capability to modulate an immune response to HSV-VIII. Exemplary LEAPS™ heteroconjugates specific to HSV-VIII include, but are not limited to, SEQ ID No.'s 160-165.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 100-114 to form a heteroconjugate capable of modulating an immune response to VZV or to mature DCs having the capability to modulate an immune response to VZV. Exemplary LEAPS™ heteroconjugates specific to VZV include, but are not limited to, SEQ ID No.'s 166-173.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 115-120 to form a heteroconjugate capable of modulating an immune response to HSV-1 or to mature DCs having the capability to modulate an immune response to HSV-1. Exemplary LEAPS™ heteroconjugates specific to HSV-1 include, but are not limited to, SEQ ID No.'s 174-176.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 121-124 to form a heteroconjugate capable of modulating an immune response to HSV-2 or to mature DCs having the capability to modulate an immune response to HSV-2. Exemplary LEAPS™ heteroconjugates specific to HSV-2 include, but are not limited to, SEQ ID No.'s 177-178.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 125-126 to form a heteroconjugate capable of modulating an immune response to herpes simplex virus or to mature DCs having the capability to modulate an immune response to herpes simplex virus. An exemplary LEAPS™ heteroconjugate specific to herpes simplex virus includes, but is not limited to, SEQ ID No. 179.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates SEQ ID No. 127 to form a heteroconjugate capable of modulating an immune response to EBV (Epstein-Barr virus) or to mature DCs having the capability to modulate an immune response to EBV. An Exemplary LEAPS™ heteroconjugate specific to poliovirus type 3 include, but are not limited to, SEQ ID No. 180.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 128-129 to form a heteroconjugate capable of modulating an immune response to polio virus type 3 or to mature DCs having the capability to modulate an immune response to polio virus type 3. Exemplary LEAPS™ heteroconjugates specific to poliovirus type 3 include, but are not limited to, SEQ ID No.'s 181-182.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates SEQ ID No. 130 to form a heteroconjugate capable of modulating an immune response to human poliovirus 1 Mahoney or to mature DCs having the capability to modulate an immune response to human polio virus 1 Mahoney. An exemplary LEAPS™ heteroconjugate specific to human polio virus 1 Mahoney includes, but is not limited to, SEQ ID No. 183.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 131-133 and 190-193 to form a heteroconjugate capable of modulating an immune response to tuberculosis or to mature DCs having the capability to modulate an immune response to tuberculosis. Exemplary LEAPS™ heteroconjugates specific to tuberculosis include, but are not limited to, SEQ ID No.'s 184-185 and 209-210.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 134 and 194-195 to form a heteroconjugate capable of modulating an immune response to Lyme disease or to mature DCs having the capability to modulate an immune response to Lyme disease. Exemplary LEAPS™ heteroconjugates specific to Lyme disease includes, but is not limited to, SEQ ID No.'s 186 and 211.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 135-136 to form a heteroconjugate capable of modulating an immune response to Chlamydia or to mature DCs having the capability to modulate an immune response to Chlamydia. An exemplary LEAPS™ heteroconjugate specific to Chlamydia virus includes, but is not limited to, SEQ ID No. 187.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 137-138 to form a heteroconjugate capable of modulating an immune response to malaria or to mature DCs having the capability to modulate an immune response to malaria. An exemplary LEAPS™ heteroconjugate specific to malaria virus includes, but is not limited to, SEQ ID No. 188.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No. 139 to form a heteroconjugate capable of modulating an immune response to Treponema pallidum or to mature DCs having the capability to modulate an immune response to Treponema pallidum. An exemplary LEAPS™ heteroconjugate specific to Treponema pallidum includes, but is not limited to, SEQ ID No. 189.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 205-208 to form a heteroconjugate capable of modulating an immune response to H. pylori or to mature DCs having the capability to modulate an immune response to H. pylori. An exemplary LEAPS™ heteroconjugate specific to H. pylori includes, but is not limited to, SEQ ID No.'s 217-218.

In certain embodiments, a LEAPS™ heteroconjugate in accordance to Formulae (I) or (II) incorporates any of SEQ ID No.'s 196-204 to form a heteroconjugate capable of modulating an immune response to HIV or to mature DCs having the capability to modulate an immune response to HIV. An exemplary LEAPS™ heteroconjugate specific to HIV, includes, but is not limited to, SEQ ID No.'s 212-216.

Table 3 below shows exemplary antigens described that can be employed as peptide P₂ in certain embodiments. LEAPS™ heteroconjugates consistent with Formulae (I) and (II) can be formed by combining any permutation of ICBL peptide including, but not limited to, CEL-1000, Peptide J and/or Peptide G (Peptides P₁) with an antigen peptide (Peptide P₂) as presented in Table 3. Table 3 lists antigen sequences grouped by disease causing organism or agent associated with such sequences. Specifically, the first column of Table 3 lists the SEQ ID No. for the sequence presented in each row. The second column lists the disease, agent or organism for which the sequences presented in each row relate. The third column specifies the protein from which individual amino acid sequences are derived. The fourth column gives the abbreviation for which the sequence presented in each row can be referred to. For example, AH51ext stands for adenovirus 5 hexon protein (extended sequence), whereas J-AH51ext indicates a LEAPS™ heteroconjugate having the ICBL Peptide J linked to AH51ext. Also provided on Table 3 are example LEAPS™ heteroconjugates where Peptide P₁ is Peptide J (SEQ ID No. 3) combined with an antigen Peptide P₂. The fifth column specifies the core epitope sequence, if any, for the protein described in each row, and the sixth column specifies an extended epitope sequence associated with the protein described in each row. The seventh column indicates the range of amino acids from the described protein corresponding to the epitope sequence. The eighth column presents a non-limiting example LEAPS™ heteroconjugate containing Peptide J. The ninth column lists any know references describing the extended or core epitope sequences, if known. References are specified by a number corresponding to the list of references found at the end of this disclosure.

TABLE 3 Antigen Sequences for Peptide P₂ and Example LEAPS™ Heteroconjugates Seq ID Disease or Protein No. agent Candidates Abbreviation Core epitope Extended region  53 Adeno-virus Adenovirus 5 AH51 TDLGQNLLY NA  54 Hexon AH51ext NA SMGALTDLGQNLLYANSAH 140 J-AH51ext NA  55 Adeno-virus Adenovirus 5 AH52 TYFSLNNKF NA  56 Hexon AH52ext NA ARATETYFSLNNKFRNPTV 141 J-AH52ext NA  57 Hepatitis C E1 Protein E1 DLMGYIPAV NA  58 Virus E1ext NA TCGFADLMGYIPAVGAPLG 142 J-E1ext NA  59 Hepatitis C NS3 NS3 AYSQQTRGL NA  60 Virus NS3ext NA LAPITAYSQQTRGLLGCII 143 J-NS3ext NA  61 Hepatitis B S Protein HBS FLLTRILTI NA  62 Virus HBS ext NA LQAGFFLLTRILTIPQSLD 144 J-HBSext NA  63 Hepatitis B S Protein HBS NA LRGDLQVLAQKVARTL 145 Virus J-HBS NA  64 Hepatitis B pre S Protein preHBS NA DYQGMLPVCPLIPGSSTTSTGPC Virus 146 J-HBSext NA  65 Human papillo E7 HPV16_E7 YMLDLQPETT  66 mavirus HPV16_E7ext NA PTLHEYMLDLQPETTDLYCY 147 J-HPV16_E7 NA  67 HTLV 1- Tax-1 protein HTLV_Tax1 LLFGYPVYV  68 Human T- HTLV_Tax1ext NA GFGQSLLFGYPVYVEGDCV 148 lymphotropic J-HTLV_Tax1 NA  69 RSV- NP RSV NP KMLKEMGEV  70 Respiratory RSV NPext NA RKSYKKMLKEMGEVAPEYR 149 Syncytial Virus J-RSV NP NA  71 Vaccinia Virus Vaccinia virus VACV_C7L KVDDTFYYV  72 Host range VACV_C7Lext  NA VKVNKVDDTFYYVIYEAV protein 2 74-82 150 J-VACV_C7L NA  73 West Nile WNV NY-99 WNVPP RLDDDGNFQL Virus polyprotein  74 precursor WNVPPext NA ERVDVRLDDDGNFQLMNDPG (1452-1461) 151 J-WNVPPext NA  75 Polyomavirus VP1 VP1A SITEVECFL NA  76 (JC/BK) VP1Aext NA KTGVDSITEVECFLTPEMG 152 J-VP1Aext NA  77 Polyomavirus VP1 VP1B LLMWEAVTV NA  78 (JC/BK) VP1Bext NA LTCGNLLMWEAVTVKTEVL 153 J-VP1Bext NA  79 Polyomavirus Large T Antigen LTA LLLIWFRPV NA  80 (JC/BK) LTAext NA GMTLLLLLIWFRPVADFAT 154 J-LTAext NA  81 HTLV-2 Tax Tax1 LLYGYPVYV NA   82 Tax1ext NA GFGQSLLYGYPVYVFGDCV 155 J-PP65ext NA  83 Cytomegalo- Regulatory IE1 VLAELVKQI NA  84 virus protein IE1 IE1 ext NA NPEKDVLAELVKQIKVRVD 156 J-IE1ext NA  85 Cytomegalo- Tegument PP65 QYDPVAALF NA  86 virus protein pp65 PP65ext NA TVELRQYDPVAALFFFDID 157 J-PP65ext NA  87 Epstein Barr Latent LMP2 FLYALALLL NA  88 Virus Membrane LMP2ext NA LLARLFLYALALLLLASAL 158 Protein 2A J-LMP2ext NA  89 Epstein Barr Latent LMPA PYLFWLAAI NA  90 Virus Membrane LMPAext NA PVIVAPYLFWLAAIAASCF 159 Protein 2A J-LMPAext NA  91 KSHV Kaposin Kap1 VLLNGWRWRL NA  92 (HSV-VIII) Kap1ext NA VHVPDVLLNGWRWRLGAIPP 160 J-Kap1ext NA  93 KSHV K1 Glycoprotein  gK1 HRQSIWITW NA  94 (HSV-VIII) gK1ext NA VEQSGHRQSIWITWITTQPV 161 JgK1ext NA  95 KSHV Kaposin Kap2 LVCLLAISVVPPSGQ NA 162 J-Kap2ext NA  96 KSHV K8.1 gK8-1 ELTDALISAFSGSYS NA Glycoprotein 163 J-gK8-1ext NA  97 KSHV K8.1 gK8-2 LILYLCVPRCRRKKP NA Glycoprotein 164 J-gK8-2ext NA  98 KSHV ORF 57 057 ISARGQELF NA  99 (HSV-VIII) O57ext NA QSRRSISARGQELFRTLLE 165 J-057ext NA 100 VZV Glycoprotein B gP2A EITDTIDKFGK (II) 101 gP2Aext NA PIPVSEITDTIDKFGKCSSKA 166 J-gP2Aext NA 102 VZV Glycoprotein B gP2B LPEGMDPFAEK NA (II) 103 gP2Bext NA KGLKQLPEGMDPFAEKPNATD 167 J-gP2Bext  NA 104 VZV Glycoprotein I gP1A ARLCDLPATPK NA 105 gP1Aext NA ALFQQARLCDLPATPKGSGTS 168 JgP1Aext NA 106 VZV Glycoprotein I gP1B PHSVVNPFVK NA 107 gP1Bext NA REESPPHSVVNPFVK 169 JgP1Bext NA 108 VZV IE62 IE1 SLPRSRTPI NA 109 IE1ext NA RQKSFSLPRSRTPIIPPVS 170 J-IE1ext NA 110 VZV IE62 IE2 SAPLPSNRV NA 111 IE2ext NA SPWPGSAPLPSNRVRFGPS 171 JIE2ext NA 112 VZV IE62 IE3 ALWALPHAA NA 113 IE3ext NA MATGEALWALPHAAAAVAM 172 JIE3ext NA 114 VZV DNA binding VDNAP PIRHNGITMEM NA protein 173 J-VDNAP NA 115 HSV-1 glyco protein D gDI77 SLPITVYYA 116 gDI77 ext PFQPPSLPITVYYAVLERA 174 J-gDI77ext 117 HSV-1 glyco protein D gDI94 VLLNAPSEA 118 gD94ext RACRSVLLNAPSEAPQIVR 175 J-gD94ext 119 HSV-1 glyco protein D gD302 ALLEDPVGT 120 gD302ext DPEDSALLEDPVGTVAPQI 176 J-gD302ext 121 HSV-2 glycoprotein B  gB II439 GFLLAYQPLL 122 gBII 2 ext YLATGGFLIAYQPLLSNTLA 177 J-gB2 ext 123 HSV-2 tegument protein  Teg1 GLADTVVAC 124 VP13/14 Teg1ext RLHPHSAHPAFADVEQEAL 178 J-Teg1ext 125 HSV gC gC DRRDPLARYGSR NA 126 gCext GPVWCDRRDPLARYGSRVQIRC 179 J-gC NA 127 EBV p85 CSLEREDRDAWHLPAYK NA 180 J-p85 NA 128 Poliovirus   Genome PV-gpp1 QPTTRAQKLFAMWRITYKDTV type 3 (strains polyprotein 181 P3/LEON/37 J-PVgppl NA AND P3/LEON 12A[1]B) 129 Poliovirus    Genome PV-gpp2 VAIIEVDNEQPTTRAQKLFAM type 3 (strains polyprotein 182 P3/LEON/37 J-PVgpp2 AND P3/LEON 12A[1]B) 130 Human coat protein VP1  VP1cp SIFYTYGTAPARISVPYVGI 183 poliovirus 1 J-VP1cp Mahoney Tuberculosis ESAT 6 131 ESAT6 EQQWNFAGIEAAA 184 J-ESAT6 NA 190 Tuberculosis Antigen 85-B 85-B KLVANNTRL 191 85-Bext NA TQQIPKLVANNTRLWVYCG 209 J-85-Bext NA 132 Tuberculosis Mycobacterium Mbovis85A GLPVEYLQV bovis antigen      85-A 6 133 Mbovis85Aext NA MFSRPGLPVE YLQVPSASM 185 J-Mbovis85A NA 192 Tuberculosis Lipoprotein   IpqH VLTDGNPPEV 193 IpqH precursor IpqHext NA TGIAAVLTDGNPPEVKSVGL 210 J-IpqHext NA NA 134 Lyme disease OMP LOMP1 MKKDNIAAMVLRGMAK NA 186 J-LOMP1 NA 194 Lyme disease Outer surface LOMP2 KSYVLEGTLTAE 195 protein A LOMP2ext NA GSGKAKEVLKSYVLEGTLTAEKT precursor TLVVKEG 211 J-LOMP2ext NA 135 Chlamydia Major Outer MOMP RLNMFTPYI NA 136 Membrane MOMP ext NA LALSYRLNMFTPYIGVKWS 187 Protein J-MOMPext NA 137 Malaria CSP CSP YLNKIQNSL 138 CSPext NA HIKEYLNKIQNSLSTEWS 188 J-CSP NA 139 Treponema Treponema TprK IEATLHCYGAYLTIGK  NA pallidum pallidum repeat NPDF 189 protein K J-TprK NA 196 HIV-1 Envelope gp160 KLTPLCVTL 197 glycoprotein gp160ext LKPCVKLTPLCVTLNCSNI 212 gp160 precursor J-gp160ext 198 HIV-1 gag polyprotein gp260 EIYKRWII 199 gp260ext PIPVGEIYKRWIILGLNK 213 J-gp260ext 200 HIV-1 p6 Gag p6 LYPLASLRSL NA 201 p6ext NA TPSQKQEPIDKELYPLASLRSL FGSDPSSQ 214 J-p6ext NA 202 HIV-1 Gag gp77 SLYNTVATLYCVHQR 215 J-gp77 NA 203 HIV-1 Pol 448 p448 KLVGKLNWA 204 p448ext VNDIQKLVGKLNWASQIYA 216 J-p448ext 205 Helicobacter Hypothetical HP0151 GYNKAMGFL pylori protein HP0151 206 HP0151ext NA NSYPNGYNKAMGFLKVFKH 217 J-HP0151ext NA 207 Helicobacter Type II R-M RMS2 IYVKTSSFL pylori system methyltrans- ferase 208 RMS2ext NA EIDHKIYVKTSSFLDFCRN 218 J-RMS2 NA Seq ID Amino No. acid J LEAPS conjugate Ref.  53 242-250 NA  59  54 237-255 NA   6 140 NA DLLKNGERIEKVEGGGSMGALTDLGQNLLYANSAH  55  17-24 NA  59  56  12-29 NA   7 141 NA DLLKINGERIEKVEGGGARATETYFSLNNKFRNPTV  57  16-24 NA  47  58  11-29 NA  13 142 NA DLLKNGERIEKVEGGGTCGFADLMGYIPAVGAPLG  59  22-30 NA  56  60  17-35 NA  14 143 NA DLLKISIGERIEKVEGGGLAPITAYSQQTRGLLGCH  61  20-28 NA  66  62  15-33 NA  15 144 NA DLLKNGERIEKVEGGGLQAGFFLLTRILTIPQSLD  63 144-159 NA  63 145 NA DLLKNGERIEKVEGGGLRGDLQVLAQKVARTL  64 NA  53 146 NA DLLKNGERIEKVEGGGDYQGMLPVCPLIPGSSTTSTGPC  65  11-20 NA  67  66   6-25 NA  17 147 NA DLLKNGERIEKVEGGGPTLHEYMLDLQPETTDLYCY  67  11-19 NA  67  68   6-24 NA  18 148 NA DLLKNGERIEKVEGGGGFGQSLLFGYPVYVFGDCV  69 137-145 NA  71  70 132-150 NA  20 149 NA DLLKNGERIEKVEGGGRKSYKKMLKEMGEVAPEYR  71  74-82 NA  58  72  69-87 NA  22 150 NA DLLKNGERIEKVEGGGVKVNKVDDTFYYVIYEAV  73 1452-1461 NA  54  74 1447-1466 NA  23 151 NA DLLKNGERIEKVEGGGERVDVRLDDDGNFQLMNDPG  75  36-44 NA  60  76  31-49 NA  28 152 NA DLLKNGERIEKVEGGGKTGVDSITEVECFLTPEMG  77 100-108 NA  68  78  95-113 NA  28 153 NA DLLKNGERIEKVEGGGLTCGNLLMWEAVTVKTEVL  79 579-587 NA  44  80 574-592 NA  29 154 NA DLLKNGERIEKVEGGGGIVITLLLLLIWERPVADFAT  81  10-18 NA  40  82   7-23 NA  33 155 NA DLLKNGERIEKVEGGGGFGQSLLYGYPVYVFGDCV  83  81-89 NA  75  84  76-94 NA   9 156 NA DLLKNGERIEKVEGGGNPEKDVLAELVKQIKVRVD  85 341-349 NA  46  86 336-354 NA  10 157 NA DLLKNGERIEKVEGGGTVELRQYDPVAALFFFDID  87 237-245 NA  50  88 232-250 NA  11 158 NA DLLKNGERIEKVEGGGLLARLFLYALALLLLASAL  89  12-20 NA  72  90   7-25 NA  12 159 DLLKNGERIEKVEGGGPVIVAPYLFWLAAIAASCF  91  16-25 NA  42  92  11-30 NA  30 160 NA DLLKNGERIEKVEGGGVHVPDVLLNGWRWRLGAIPP  93  44-52 NA  70  94  39-57 NA  34 161 NA DLLKNGERIEKVEGGGVEQSGHRQSIWITWHTQPV  95  31-45 NA  30, 74 162 NA DLLKNGERIEKVEGGGLVCLLAISVVPPSGQ  96 131-145  NA  30, 74 163 NA DLLKNGERIEKVEGGGELTDALISAFSGSYS  97 211-225 NA  30, 74 164 NA DLLKNGERIEKVEGGGLILYLCVPRCRRKKP  98 399-407  NA  41  99 394-412 NA  24 165 NA DLLKNGERIEKVEGGGQSRRSISARGQELFRTLLE 100 139-149  NA  51 101 134-154  NA  26 166 NA DLLKNGERIEKVEGGGPIPVSEITDTIDKFGKCSSKA   5 102 769-779  NA  51 103 764-784  NA  26 167 NA DLLKNGERIEKVEGGGKGLKQLPEGMDPFAEKPNATD 104 197-207  NA  51 105 192-212  NA  25 168 NA DLLKNGERIEKVEGGGALFQQARLCDLPATPKGSGTS 106 345-354  NA  51 107 340-354  NA  25 169 NA DLLKNGERIEKVEGGGREESPPHSVVNPFVK 108 445-453  NA  48 109 440-458  NA  27 170 NA DLLKNGERIEKVEGGGRQKSFSLPRSRTPIIPPVS 110 472-480  NA  48 111 467-485 NA  27 171 NA DLLKNGERIEKVEGGGSPWPGSAPLPSNRVRFGPS 112 593-600  NA  73 113 588-605 NA  27 172 NA DLLKNGERIEKVEGGGMATGEALWALPHAAAAVAM 114 NA  55 173 NA DLLKNGERIEKVEGGGPIRHNGITMEM 104 115  77-85  45 116  72-90  37 174 NA DLLKNGERIEKVEGGGPFQPPSLPITVYYAVLERA 117  94-102  45 118  89-107  37 175 NA DLLKNGERIEKVEGGGRACRSVLLNAPSEAPQIVR 119 302-310  45 120 297-315  37 176 NA DLLKNGERIEKVEGGGDPEDSALLEDPVGTVAPQI 121 439-448  57 122 434-453  38 177 NA DLLKNGERIEKVEGGGYLATGGFLIAYQPLLSNTLA 123 551-559  57 124 546-564  35 178 NA DLLKNGERIEKVEGGGRLEPHSAHPAFADVEQEAL 125 128-139  NA  76 126 123-144  36 179 NA DLLKNGERIEKVEGGGGPVWCDRRDPLARYGSRVQIRC 127 NA  62 180 NA DLLKNGERIEKVEGGGCSLEREDRDAWHLPAYK 128 672-693  49 181 DLLKNGERIEKVEGGGQPTTRAQKLFAMWRITYKDTV 129 663-684  49 182 NA DLLKNGERIEKVEGGGVAIIEVDNEQPTTRAQKLFAM 130 692-711  69 183 NA DLLKNGERIEKVEGGGSIFYTYGTAPARISVPYVGI NA  91 131   3-15 NA 184 NA DLLKNGERIEKVEGGGEQQWNFAGIEAAA 190 239-247 NA  93 191 234-252 NA  95 209 NA DLLKNGERIEKVEGGGTQQIPKLVANNTRLWVYCG 132   6-14 NA  43 133   1-19 NA  21 185 NA DLLKNGERIEKVEGGGMFSRPGLPVEYLQVPSASM 192  88-97 NA  92 193  83-102 NA  97 210 NA DLLKINGERIEKVEGGGTGIAAVLTDGNPPEVKSVGL 134 NA  82 NA 186 NA DLLKNGERIEKVEGGGMKKDNIAAMVLRGMAK 194 144-155 NA  90 195 135-164 NA  96 211 NA DLLKNGERIEKVEGGGGSGKAKEVLKSYVLEGTLTAEK TTLVVKEG 135 250-258 NA  52 136 245-263 NA   8 187 NA DLLKNGERIEKVEGGGLALSYRLNMFTPYIGVKWS 137  33-41 NA  65 138  28-46 NA  19 188 NA DLLKNGERIEKVEGGGHIKEYLNKIQNSLSTEWS 139 242-250 NA  61 189 NA DLLKINGERIEKVEGGGIEATLFICYGAYLTIGKNPDF 196 122-130  83, 88 197 117-135 101 212 DLLKNGERIEKVEGGGLKPCVKLTPLCVTLNCSNI 198 260-267  84 199 255-272 100 213 DLLKNGERIEKVEGGGPIPVGEIYKRWIILGLNK 200  35-44 NA  87 201  23-52 NA  98 214 NA DLLKNGERIEKVEGGGTPSQKQEPIDKELYPLASL RSLFGSDPSSQ 202  77-91 NA  83, 86, 99 215 NA DLLKNGERIEKVEGGGSLYNTVATLYCVHQR 203 358-366  88 204 353-371 103 216 DLLKNGERIEKVEGGGVNDIQKLVGKLNWASQIYA 205  11-19 NA  89 206   6-24 NA  94 217 NA DLLKNGERIEKVEGGGNSYPNGYNKAMGFLKVFKH 207  40-48 NA  89 208  35-53 NA 102 218 NA DLLKNGERIEKVEGGGEIDHKIYVKTSSFLDFCRN

Embodiments also contemplate reversal sequences where the order of amino acids in Peptides P₁ and/or P₂ is reversed from N-term to C-terminus. For example peptide J has the sequence DLLKNGERIEKVE (SEQ ID No. 3). The reversal sequence for any ICBL disclosed herein is envisioned for inclusion in a LEAPS™ heteroconjugate as described herein. Further, the non-reversal sequence for an ICBL can be conjugated with an antigen sequence from Tables 1, 2 or 3 or with a reversal antigen sequence from Tables 1, 2 or 3. The reversal sequence for SEQ ID No. 7 is GTRVLARTRQYTADN, such that LEAPS™ heteroconjugates contemplated in certain embodiments include DLLKNGERIEKVEGGG GTRVLARTRQYTADN and DLLKNGERIEKVEGGGNDATYQRTRALVRTG, where Peptide J (SEQ ID No. 3) is conjugated with the reversal sequence of SEQ ID No. 7 or the non-reversal sequence of SEQ ID No. 7, respectively. Further, the reversal sequence for an ICBL can be conjugated with an antigen sequence from Tables 1, 2 and 3 or with a reversal antigen sequence from Tables 1, 2 and 3. Such LEAPS™ heteroconjugates contemplated in certain embodiments include EVKEIREGNKLLDGGGGTRVLARTRQYTADN and EVKEIREGNKLLDGGGNDATYQRTRALVRTG, where the reversal sequence for Peptide J (SEQ ID No. 3) is conjugated with the reversal sequence of SEQ ID No. 7 or the non-reversal sequence of SEQ ID No. 7, respectively.

Alternatively, the invention contemplates a variable immunomodulatory peptide construct having the Formula (III) P₃-x-P₄  (III)

where P₃ is a peptide construct comprised of X₁ to X₁₄ said peptide P₃ being associated with Type A influenza or another infectious agent. For example, the immunomodulatory peptide can contain a highly conserved protein such as but not limited to the M2e or other matrix protein, or NP1 nucleoprotein, and P₄ is a peptide construct comprised of X₁ to X₁₄ causing a Th1 directed immune response by said set or subset of T cells to which the peptide P₃ is attached or which binds to a dendritic cell or T cell receptor causing said set or subset of DC or T cells to which the peptide P₃ is attached to initiate and complete, an immune response.

Alternatively, the invention contemplates a variable immunomodulatory peptide construct having the formula (IV) P₅-x-P₆  (IV) where P₅ is a peptide construct comprised of X₁ to X₁₄ said peptide P₅ being associated with Type A influenza or another infectious agent, and P₆ is a peptide construct comprised of X₁ to X₁₄ causing a T_(h)2 directed immune response by said set or subset of T cells to which the peptide P₅ is attached or which binds to a T cell receptor causing said set or subset of T cells to which the peptide P₅ is attached to initiate an immune response, such that X₁ to X₁₀ and X₁₄ describe a group of amino acids based on their features and X₁₁ to X₁₃ describe modifications to the peptide construct, wherein

X₁ is selected from the group consisting of Ala and Gly,

X₂ is selected from the group consisting of Asp and Glu,

X₃ is selected from the group consisting of Ile, Leu and Val,

X₄ is selected from the group consisting of Lys, Arg and His,

X₅ is selected from the group consisting of Cys and Ser,

X₆ is selected from the group consisting of Phe, Trp and Tyr,

X₇ is selected from the group consisting of Phe and Pro,

X₈ is selected from the group consisting of Met and Nle,

X₉ is selected from the group consisting of Asn and Gln,

X₁₀ is selected from the group consisting of Thr and Ser,

X₁₁ is Gaba^(χ) where X₂X₃, X₃X₂, X₂X₃, X₃X₂, X₃X₃, or X₂X₂ can be substituted with

X₁₁;

-   -   X₁₂ is selected from the group consisting of acetyl, propionyl         group, D glycine, D alanine and cyclohexylalanine;     -   X₁₃ is 5-aminopentanoic where any combination of 3 to 4 amino         acids of X₂ and X₃ can be replaced with X₁₃;     -   X₁₄ is selected from the group consisting of X₁, X₂, X₃, X₄, X₅,         X₆, X₇, X₈, X₉ and X₁₀; and

x is a direct bond or linker for covalently bonding P₅ and P₆. For example, a variable immunomodulatory peptide construct of formulae (III)-(IV) can contain a peptide causing a T_(h)2 directed immune response related to peptide J (SEQ ID No. 3), such X₂X₃X₃X₄X₉X₁X₂X₄X₃X₂X₄X₃X₂ as (SEQ ID No. 225). One having skill in the art would recognize that each of X₁ to X₁₄ represents a group of amino acids having similar charge, polarity, hydrophobicity, chemical functionality, size and/or shape. As such, one having skill in the art will recognize that a variable immunomodulatory peptide can be identified by substituting a specific amino acid residue in any sequence disclosed herein with the corresponding group X₁ to X₁₄ including and representing the properties of that specific residue. For example, one having skill in the art will recognized that a Gly residue can be represented by group X₁, and Trp residue can be represented by X₆ and an Arg residue can be represented by group X₄. As such, one having skill in the art will be able to unambiguously assign the tripeptide GWR as X₁X₆X₄. Similarly, one having skill in the art will be able to unambiguously assign any of the sequences disclosed herein to a variable immunomodulatory peptide construct having residue represented by X₁ to X₁₄. For example, SEQ ID No. 7 derived from influenza virus can be converted to the variable immunomodulatory peptide X₉X₂X₁X₁₀X₆X₉X₄X₁₀X₄X₁X₃X₃X₄X₁₀X₁ (SEQ ID No. 226) that can be incorporated into an immunomodulatory peptide construct.

Methods of Treating a Subject with LEAPS™ Heteroconjugates

Any of the LEAPS™ heteroconjugates in accordance with Formulae (I)-(IV) described above can be combined with an appropriate pharmaceutically suitable carrier with one or more optional adjuvants for administration to a subject. Such combination of the LEAPS™ heteroconjugates and a pharmaceutically suitable carrier can function as a vaccine to confer immune resistance to a broad spectrum of Type A influenza viruses or any of the infections agents described in Table 3. For example, an immunomodulatory peptide construct having any of SEQ ID No.'s 1, 2, 11-36, 47-52, 140-189 and 209-218 individually or as a mixture thereof, can be combined with a pharmaceutically suitable carrier to form a vaccine composition.

These LEAPS™ heteroconjugate peptide-based vaccines can provide prophylactic protection and also have the potential for therapeutic treatment of recurrent disease. The LEAPS™ technology is a T cell modulation platform technology that can be used to design and synthesize proprietary epitope sequences compatible with LEAPS™ technology. Each LEAPS™ heteroconjugate is composed of an ICBL which has the ability to induce and elicit protective immunity and antigen specific response in animal models.

LEAPS™ technology directly mimics cell to cell interactions on the dendritic and T-cell surfaces using synthetic peptides. The LEAPS™ heteroconjugates containing the antigenic disease epitope linked to an ICBL can be manufactured by peptide synthesis or by covalently linking two peptides. Depending on the type of LEAPS™ heteroconjugates and ICBL used, the peptide construct is able to direct the outcome of the immune response towards the development of T-cell function with primary effector T-cell functions: T Lymphocyte; helper/effector T Lymphocyte, type 1 or 2 (Th1 or Th2), cytotoxic (Tc) or suppressor (Ts) without excessive amounts of proinflammatory and inflammatory cytokines.

The type of the immune response elicited against an immunogen or a natural infection can be classified as Th1/Tc1, Th2/Tc2 or Th3 based on the predominant IgG subtype, the cytokines that are induced, or the presence or absence of delayed type hypersensitivity (DTH) response. A Th0 response is an earlier response that can mature into either a Th1 or a Th2 response and has features of both. The Th1 (CD4)/Tc1 (CD8) response is characterized by activation of CD4⁺ and CD8⁺ T cells to produce IL-2, TNF-β, and IFN-γ and to promote the production of IgM and specific IgG antibody subtypes and cell-mediated immune responses including delayed-type hypersensitivity (DTH). These responses reinforce early, local and inflammatory responses. Th2 responses promote different IgG subclasses, IgE and IgA responses but not cell mediated responses to antigen (Ag). Th2 responses prevent the onset of protective Th1 cell mediated responses important for infection control, which may exacerbate disease. Initiation of Th1 and Th2 responses has important implications in terms of resistance and susceptibility to disease. Th1-dominated responses are potentially effective in eradicating influenza viral infections, and are important for the induction of cytotoxic T lymphocytes (CTL). Most importantly, for many vaccines it is thought that initiation of immunity with a Th1 response and then progression to a Th2 response promotes better immune memory.

Many suitable pharmaceutical carriers are known to persons skilled in the art. The primary function of the pharmaceutical carrier is to assist in the delivery and/or administration the immunomodulatory peptide construct to a subject. The pharmaceutical carrier can be as simple as sterilized water. In certain embodiments, the pharmaceutical suitable carrier is a sterile pyrogen-free formulation containing from about 0.2 mg/mL to about 10 mg/mL of the immunomodulatory peptide construct in phosphate-buffered saline (PBS) and trehalose or other sugar that has been lyophilized to remove water and reconstituted prior to use with sterilized water for injection to a subject.

Optional adjuvants include products such as GMP products including Montanide™ ISA-51 (Seppic, Fairfield, N.J.), Depovax™, a liposomal adjuvant currently in phase I trials by Immunovaccine Technologies, and MAS1™, a proprietary water-in-oil GMP adjuvant from MerciaPharma currently in phase II clinical studies. Alum is currently the only FDA licensed adjuvant of the group. In certain embodiments, the composition administered to a subject containing a LEAPS™ heteroconjugate, as described herein, has mixture of an aqueous phase and an adjuvant oil phase from about 1:4 to about 4:1.

A composition having the LEAPS™ heteroconjugate and a suitable pharmaceutical carrier with or without an optional adjuvant can be administered to a subject by subcutaneous or intramuscular injection in a therapeutically effective amount. The subject can be a mammal subject including a human subject.

Freund's Incomplete Adjuvant is also contemplated (Sigma Corp., St. Louis, Mo.). For Product Number F5506, the Storage Temperature is 2-8° C. where F5881 is a clear, amber liquid containing particulate matter (dried cells). F5506 is a clear amber liquid. Freund's incomplete Adjuvant is one of the most commonly used adjuvants in research. It is used as a water-in-oil emulsion. It is prepared from non-metabolizable oils (paraffin oil and mannide monooleate). First developed by Jules Freund in the 1940's, Freund's Adjuvant is designed to provide continuous release of antigens necessary for stimulating a strong, persistent immune response. The main disadvantage of Freund's Adjuvant is that it can cause granulomas, inflammation at the inoculation site and lesions. To minimize side-effects, Incomplete Freund's Adjuvant is used for the boosts. (Freund, J. and McDermott, K., Proc. Soc. Exp. Biol. Med., 1942; 49:548-553; Freund, J., Ann. Rev. Microbiol., 1947; 1:291; Freund, J., Adv. Tuberc. Res., 1956; 7:130; Bennett, B. et al., J. Immuno. Meth., 1992; 153:31-40; Deeb, B. J. et al., J. Immuno. Meth., 1992; 152:105-113; Harlow, E. and Lane, D., Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory, 1988).

Maturation of Dendritic Cells with LEAPS™ Heteroconjugates

In certain embodiments, a subject is stimulated to have an immune response to Type A influenza by being administered DCs matured and activated in the presence of a LEAPS™ heteroconjugate consistent with Formulae (I) or (II). Induction of an optimal immune response requires mimicking nature's approach to immunization. DCs play a major role in initiating and directing the immune response to a vaccine. The initial host response to an antigen requires internalization of the antigen into the DC followed by processing and presentation by the MHC I or II proteins for T cell recognition. DCs, macrophages and B cells are capable of presenting antigens to CD4⁺ helper T cells and CD8⁺ cytotoxic T cells as peptides held within grooves of the class II and I MHC proteins, respectively. These cells can be functionally divided into DC1 and DC2 cell types based on the means of their activation, their cytokine output and the nature of their influence on T cells. DC1 cells produce IL12 and promote Th1-type responses whereas DC2 cells promote Th2-type responses.

As described above, the LEAPS™ heteroconjugates described herein can be administered to a subject to generate an immune response in vivo. The immunomodulatory peptide constructs can also modulate the properties of immune cells, including DCs, ex vivo, in order to activate, mature, and direct the character and phenotype of immune cells (e.g. DCs) contacted with the LEAPS™ heteroconjugate. Such treated immune cells, which can include DCs and/or monocytes, can then be introduced into a subject for the purpose of increasing immunity against Type A influenza virus. DCs treated with a LEAPS™ heteroconjugate ex vivo and transferred to a subject can confer acquired immunity to the subject.

In certain embodiments, DCs and/or monocytes are extracted from a subject or donor away from other tissues of the body. The dendritic cells and/or monocytes are then contacted with one or more LEAPS™ heteroconjugates. DCs and/or monocytes isolated from a subject or donor can be in an immature state characteristic of immune cells prior to contact with an antigen. Such cells are herein referred to as immature DCs (iDCs). The DCs and/or monocytes can be isolated from blood derived monocytes and/or bone marrow taken from a subject or donor. DCs and/or monocytes expressly include monocyte cells capable of differentiating into macrophages and/or dendritic cells that can function to present antigens to T cells under appropriate conditions. Upon contact or treatment of the isolated dendritic cells and/or monocytes with the LEAPS™ heteroconjugates, the dendritic cells and/or monocytes undergo a maturation to a state that directs immune response.

As defined herein, the term “immature DCs” (iDCs) refers to cells derived from a donor or subject that are not competent to induce T cell activation upon interaction with T cells. Such iDCs are also known in the art as naïve DCs. Such iDCs can have certain physical characteristics such as a reduced level of expression of CD80 and/or CD86, MHC molecules (class I and/or class II), other surface markers and a reduced appearance of dendrites. Immature DCs, as defined herein, expressly includes monocytes that can be stimulated to form dendritic cells. As defined herein, terms “matured DCs” and “more matured DCs” refer to DCs after contact with any of the LEAPS™ heteroconjugates described herein. Such matured DCs can have certain physical characteristics including upregulation of CD80 and/or CD86, MHC I or II molecules, an increased appearance of dendrites and secretion of IL-12p70.

In certain embodiments, contacting monocyte cells with one or more LEAPS™ heteroconjugates can induce the development of the monocyte cells or iDCs to DC1 (Th1-inducing dendritic cells) and/or DC2 cells (Th2-inducing dendritic cells) or other cell type allowing for acquired immunity to influenza when transferred to a subject. In certain other embodiments, iDCs and/or monocytes isolated from a subject or donor are contacted with a media containing granulocyte-macrophage colony stimulating factor (GM-CSF) to stimulate the expression of CD11c on the surface of the iDCs or monocytes. The iDCs and/or monocytes after exposure to GM-CSF are contacted with one or more LEAPS™ heteroconjugates to induce the maturation of the monocyte cells or iDCs to DC1 (Th1-inducing dendritic cells) and/or DC2 cells (Th2-inducing dendritic cells) or other cell type allowing for acquired immunity to influenza when transferred to a subject.

In certain embodiments, DCs and/or monocytes are extracted from a subject or donor away from other tissues of the body in a composition of isolated iDCs and/or monocytes. As described herein, a composition of isolated DCs and/or monocytes is a composition in which the DCs and/or monocytes are present away from other body tissue including blood or bone marrow. In certain embodiments, a composition of isolated DCs and/or monocytes contains at least 50% of the viable cells present in the composition being DCs and/or monocytes. In certain embodiments, the composition of DCs and/or monocytes is substantially free from whole red blood cells.

In certain embodiments, the iDCs and/or monocytes are contacted or treated with one or more LEAPS™ heteroconjugates for about 6 hours to about 96 hours or from about 12 hours to about 72 hours. In certain other embodiments, the iDCs and/or monocytes are contacted or treated with one or more LEAPS™ heteroconjugates for a period of time longer than about 6 hours. In additional embodiments, the iDCs and/or monocytes are contacted or treated with one or more LEAPS™ heteroconjugates for a period of time longer than about 12 hours. In certain additional embodiments, the iDCs and/or monocytes are contacted or treated with one or more LEAPS™ heteroconjugates for a period of time longer than about 24 hours. In certain embodiments, the iDCs and/or monocytes are contacted or treated with one or more LEAPS™ heteroconjugates at a ratio from about 5 to about 50 micromoles of one or more LEAPS™ heteroconjugates per 10⁶ iDCs and/or monocytes. In certain other embodiments, the iDCs and/or monocytes are contacted or treated with one or more LEAPS™ heteroconjugates at a ratio greater than about 5 micromoles of one or more LEAPS™ heteroconjugates per 10⁶ iDCs and/or monocytes.

In certain embodiments, the iDCs and/or monocytes are contacted with GM-CSF for a period of about 1 day to about 10 days or from about 3 days to about 10 days. In certain additional embodiments, the iDCs and/or monocytes are contacted with GM-CSF for a period greater than about 5 days. In certain embodiments, the iDCs and/or monocytes are contacted with a media having a concentration of from about 5 to about 200 ng/mL of GM-CSF or from about 10 to about 150 ng/mL of GM-CSF. In other embodiments, the DCs and/or monocytes are contacted with a media having a concentration of GM-CSF greater than about 5 ng/mL. In certain embodiments, the DCs and/or monocytes are contacted with a media having a concentration of GM-CSF greater than about 15 ng/mL of GM-CSF.

Upon contact of iDCs and/or monocytes with the LEAPS™ heteroconjugate, an increased expression level of interleukin-12p70 (IL-12p70) can be observed relative to iDCs and/or monocytes not contacted with the LEAPS™ heteroconjugate. In certain embodiments, iDCs and/or monocytes contacted with the LEAPS™ heteroconjugate exhibit an up-regulation of at least one of the following: CD80, CD86, MHC class I, or MHC class II cell surface markers relative to iDCs and/or monocytes not contacted with the LEAPS™ heteroconjugate.

Immature dendritic cells and/or monocytes after contact with an immunomodulatory LEAPS™ heteroconjugate can be referred to as matured dendritic cells. The matured dendritic cells can modulate an immune response when administered or introduced into a subject. An immune response can be induced in a subject under situations where matured dendritic cells are washed free of LEAPS™ heteroconjugate that is unbound from the surface of a dendritic cell. As such, the amount of any antigen, including the antigen peptide P₂ forming part of the LEAPS™ heteroconjugate, introduced into a subject is limited. As such, introduction of the matured DCs described herein minimizes the production of a “cytokine storm” or other inflammatory responses in a treated subject. Matured DCs created through contact with a LEAPS™ heteroconjugate do not produce acute phase cytokines that can trigger a cytokine storm. See Taylor et al., Vaccine 28 (2010) 5533-5542.

Without wishing to be bound by any one particular theory, it is believed that the LEAPS™ heteroconjugate is retained on the surface of DCs in manner allowing for the interaction of the LEAPS™ heteroconjugate with T cell receptor present on the surface of T cells. As such, DCs matured in the manner described above can be introduced or administered to a subject such that the LEAPS™ heteroconjugate present of the surface of the introduced or administered DCs can interact with the subject's in situ T cells to direct an antigen specific immune response. More specifically, activation of T cell-mediated immune response requires multiple stimulator interactions, including interaction with T cell receptor (TCR) present on the surface of T cells. It is believed that these more matured DCs having the LEAPS™ heteroconjugate present of the surface can provide the necessary interaction to activate T cells and direct an immune response to the Peptide P₂ antigen of the LEAPS™ heteroconjugate. Further, it is believed that these more matured DCs formed using the methods described herein have an advantageous profile of secreted cytokines that do not stimulate a cytokine storm or other deleterious inflammation response in a subject.

The more matured dendritic cells and/or T cells can be used in an autologous fashion. In certain embodiments, iDCs and/or monocytes are isolated from a subject to be treated, such isolated cells can be blood derived monocytes and/or bone marrow cells taken from the subject. The isolated iDCs and/or monocytes are contacted with one or more LEAPS™ heteroconjugates having the structure P₁-x-P₂ or P₂-x-P₁ to induce maturation to more matured dendritic cells. An effective amount of the LEAPS activated DCs are administered to the same subject from which the matured cells were originally isolated. The subject can be a mammal, including a human. As such, the method for modulating an immune response to Type A influenza virus is autologous and minimizes exposure to any potential non-self antigen that can trigger a “cytokine storm” or other undesirable inflammatory response.

In certain other embodiments, iDCs and/or monocytes can be isolated from a compatible donor, treated with a heteroconjugate peptide having the structure P₁-x-P₂ or P₂-x-P₁ to induce maturation to form matured dendritic cells, and an effective amount of the matured dendritic cells and/or T cells administered to a subject having compatibility with the donor.

Development of DC1 or DC2 cells is determined by environmental factors, including dose and form of the antigen, but mostly by stimulation of Toll-Like Receptors (TLR) and other receptors for microbial pathogen associated molecular patterns, artificial ligands of these receptors and other stimuli. Many of these TLR molecules are triggered by adjuvants made from the TLR ligands such as Lipid A, MPL, CpG, LPS, etc. Other receptors on DCs known as LIR (leukocyte immunoglobulin-like receptors or also known as CD85) are known to recognize self-epitopes found on various MHC molecules. Both CEL-1000 and Peptide J are derived from MHC molecules and are likely ligands for LIRs. Many of these receptors' responses are also triggered by their own adjuvants. However, the identity of the receptor for LEAPS™ heteroconjugate on DCs is not definitively known. (Annunziato F. et al., Expression and release of LAG-3-encoded protein by human CD4+ T cells are associated with IFN-gamma production, FASEB J., 1996 May; 10(7):769-76; Anderson K J, Allen R L., Regulation of T-cell immunity by leucocyte immunoglobulin-like receptors: innate immune receptors for self on antigen-presenting cells, Immunology, 2009 May; 127(1):8-17; Sloane D E et al., Leukocyte immunoglobulin-like receptors: novel innate receptors for human basophil activation and inhibition, Blood, 2004 Nov. 1; 104(9):2832-9; Shiroishi M et al., Efficient leukocyte Ig-like receptor signaling and crystal structure of disulfide-linked HLA-G dimer, J Biol. Chem., 2006 Apr. 14; 281(15):10439-47; Shiroishi M et al., Human inhibitory receptors Ig-like transcript 2 (ILT2) and ILT4 compete with CD8 for MHC class I binding and bind preferentially to HLA-G, Proc Natl Acad Sci USA. 2003 Jul. 22; 100(15):8856-61; Colonna M et al., A novel family of Ig-like receptors for HLA class I molecules that modulate function of lymphoid and myeloid cells, J Leukoc. Biol., 1999 September; 66(3):3; 75-81; Borges L, et al., A family of human lymphoid and myeloid Ig-like receptors, some of which bind to MHC class I molecules, J Immunol., 1997 Dec. 1; 159(11):5192-6; Shiroishi M et al., Structural basis for recognition of the non-classical MHC molecule HLA-G by the leukocyte Ig-like receptor B2 (LILRB2/LIR2/ILT4/CD85d), Proc. Natl. Acad. Sci. U.S.A., 2006 Oct. 31; 103(44):16412-7; all of which are incorporated herein by reference).

The matured DCs having been treated with the LEAPS™ heteroconjugate having the structure P₁-x-P₂ or P₂-x-P₁ can be administered to a subject with an active influenza virus infection. A significant reduction in influenza virus titer can be observed within about 3 days of the administration of the matured LEAPS™ heteroconjugate-activated DCs to a subject having an active influenza infection. In certain embodiments, influenza virus titer can be reduced by 20% or more within 3 days post administration of the matured LEAPS™ heteroconjugate-activated DCs. In certain embodiments, virus titer can be reduced by 50% or more three days post administration of the matured LEAPS™ heteroconjugate-activated DCs.

Alternatively, the matured DCs having been contacted by the LEAPS™ heteroconjugate having the structure P₁-x-P₂ or P₂-x-P₁ can be administered as a prophylactic against future influenza virus exposure. Specifically, the matured DCs produce an immune response to the antigen of the Peptide P₂ that can lead to long-term immune memory in a similar fashion as direct vaccination with LEAPS™ heteroconjugates.

In a surprising observation, the matured DCs having been contacted by the LEAPS™ heteroconjugate having the structure P₁-x-P₂ or P₂-x-P₁ have a capability to be recruited directly to a site of an infection. That is, the matured DCs can be recruited to an infection site involving an organism or virus expressing the epitope of the antigenic Peptide P₂.

DCs can be tagged or tracked using several known techniques. For example, cells can be labeled or stained with carboxy fluorescein succinimidyl ester (CSFE), Cy5.5 or Alexa Fluor® which have fluorescent properties. The distribution of CSFE-dyed dendritic cells throughout different tissues can be determined through fluorescent microscopy or flow cytometry techniques. Those skilled in the art will recognize that the technique for tracking the distribution of DCs is not limited. For example, radio labeling techniques can be employed to track the distribution of DCs. In certain embodiments, at least a majority of the matured DCs contacted with the peptide construct having the structure P₁-x-P₂ or P₂-x-P₁ are found in the lung tissue of an influenza virus infected mouse at a time point 8 hours post administration of the matured DCs. The lungs are the primary location of influenza infection in mice. In other species, the primary location of influenza infection can be different, such as the upper respiratory tract for humans infected with influenza virus. In certain embodiments, a majority of the LEAPS™ heteroconjugate-activated DCs locate to the site of an infection within 8 hours of administration of the DCs to a patient, where the heteroconjugate contains an antigen derived from the virus causing the infection.

LEAPS™ heteroconjugate-activated matured dendritic cells have been previously reported to be useful for prophylactic use providing immunity against a later challenge with herpes simplex virus 1 (HSV-1) virus, Taylor et al., Vaccine 28 (2010), 5533-43. In the Taylor et al. study, mice were not exposed to nor suffering from an active HSV-1 infection at the time of treatment with LEAPS™ heteroconjugate-activated more matured DCs. As such, the DCs administered in the Taylor et al. study could not migrate to a site of infection for HSV-1, since there was no active HSV-1 infection in the subject mice at the time of administration. As demonstrated in the Examples below, the ability of LEAPS™ heteroconjugate-activated DCs to migrate or accumulate at the site of infection for an organism or virus is unexpected.

The matured DCs contacted with the LEAPS™ heteroconjugate having the structure P₁-x-P₂ or P₂-x-P₁ were found to have a beneficial effect in ameliorating influenza infection without the use of additional immunomodulators.

Diagnostic Application of Dendritic Cells with LEAPS™ Heteroconjugates

Matured DCs treated with a LEAPS™ heteroconjugate in vitro have a property allowing for the localization of such matured DCs to the site of an infection within the body of a subject. The LEAPS™ heteroconjugate has a P₂ peptide sequence originating or derived from an antigen, as described above. Maturation of DCs through treatment with a LEAPS™ heteroconjugate allows for the matured DCs to collect or to locate in an area of a subject's body where a source of the antigen from which the P₂ is derived can be found. As such, an infection by a pathogen, virus, rickettsia, bacteria or parasite can be detected by observing matured dendritic cells administered to a subject collecting, locating or concentrating at a site within the subject's body where the virus can be found.

In certain embodiments, matured DCs can be labelled with a tracking marker to allow for their location within a subject's body to be tracked after administration to the subject. For example, in the matured DC's can be labelled with radionuclides to allow for the location of the labeled, matured DCs to be detected using appropriate equipment. Appropriate radionuclides include radioactive isotopes of iodine such as ¹³¹I or ¹²⁵I. The location of radionuclides can be determined using a radiation detector or photographic film sensitive to radiation.

As the Examples below demonstrate, DCs matured by treatment with a LEAPS™ heteroconjugate, as describe herein, have the ability to concentrate in a region of a subject's body hosting or similar antigen source. Specifically, the matured DCs obtained by treatment with a LEAPS™ heteroconjugate are sensitized to sources of the antigen from which the peptide P₂ forming the specific LEAPS™ heteroconjugate used to mature the matured DCs is derived. For example, DCs matured with a LEAPS™ heteroconjugate containing a peptide P₂ derived from an infectious agent will accumulate in area of the subject's body where antigens originating from the virus can be found.

Early detection of specific conditions is often crucial to successful treatment. Unfortunately, many traditional techniques for verifying the presence of an infection, pathogen, virus, bacteria, rickettsia or parasite are not effective until the condition has progressed to a significant degree such that symptoms are manifest. Likewise, the presence of antibodies in the blood serum having affinity for a particular antigen is often not discernible until a substantial time has past since infection and an immune response is well on the way.

The immunomodulatory LEAPS™ heteroconjugates can be used to modulate a subject's immune system to detect the presence of an infection at an early stage. The LEAPS™ heteroconjugates can be used to mature immature DCs or monocytes isolated from the subject or a compatible donor to be sensitive to a desired antigen originating or derived from an infectious agent whose detection is desired. Since the DCs can be manipulated outside of the body, the matured DCs can be labelled with a tracking marker in a manner allowing for sensitive detection. In particular, labelling with radionuclides can allow for detection down to very low levels. Similarly, the presence of a fluorescent dye can be discerned at very low levels.

In certain embodiments, matured DCs can be labelled with a tracking marker to allow for location within a subject's body to be tracked after administration to the subject. For example, matured DC's can be labelled with radionuclides (radioisotopes) to allow for the location of the labeled, matured DCs to be detected using appropriate equipment. Appropriate radionuclides include radioactive isotopes of iodine such as ¹³¹I or ¹²⁵I as well as other radionuclides including ¹⁸F, ³²P, ⁶⁴Cu, ⁹⁰Y, ^(99m)Tc, ¹²⁴I, ⁸⁹Zr, ¹¹In, ¹⁸⁸Re, or ¹⁷⁷Lu. The location of radionuclides can be determined using a radiation detector, single-photon tomography/computed tomography (SPECT/CT), scintillation camera, positron emission tomography or photographic film sensitive to radiation. In certain further embodiments, matured DC's can be labeled with a fluorescent dye, such as carboxyfluorescein succinimidyl ester (CSFE), Cy 5.5 or Alexa Fluor® where the presence of such dye-labelled DCs can be detected in tissues taken by biopsy from a patient administered the matured DCs. In certain embodiments, the tracing marker is a luminescence dye. In certain embodiments, the presence of fluorescence in a tissue sample taken from a subject's body is determined by flow cytometry.

In certain embodiments, immature DCs and/or monocytes are collected from a subject or a compatible donor and matured by treatment or contact with a LEAPS™ heteroconjugates having a structure of Formulae (I) or (II) and incorporating an antigen peptide (P₂) sequence derived from an infection agent such as an infection pathogen virus, rickettsia, bacteria or parasite. The matured DCs are administered to the subject through an intravenous route or another appropriate route and a period of time is allowed to elapse. A diagnostic determination of the presence of the desired infection, pathogen virus, rickettsia, bacteria or parasite can be made by observing the location of the administered matured dendritic cells and/or tracking marker. The tracking marker can be conjugated to the LEAPS™ heteroconjugate used to treat the DCs or can be conjugated to an antibody (mAb) having affinity for a cell surface marker or other protein present on the DC. Example cell surface markers to which such an antibody can have affinity include MHC II, CD11c, DEC-205, Dectin-1, DC-SIGN, and DC-LAMP. When the desired infection, pathogen virus, rickettsia, bacteria or parasite is present in the body of the subject, the matured DCs and/or tracking marker will concentrate at the location, tissue type or organ structure where the infection is present within the subject's body. When the targeted infection is not present in the body of the subject, the matured DCs and/or tracking marker is expected to be diffused in different locations of the subject's body and not concentrated in any particular location, tissue type or organ structure.

The diagnostic determination can be made by only observing the location, tissue type or organ structure where the infection, pathogen virus, rickettsia, bacteria or parasite is expected to be found. For example, if matured DCs are made with a LEAPS™ heteroconjugates containing an antigen sequence derived from a virus known to cause respiratory infections, then only observation of the presence of the matured DCs and/or tracking marker in the subject's lungs or other respiratory organs needs to be performed. Since the amount of tracking marker administered to the subject is known, a determination of a concentration of the matured DCs and/or tracking marker in a specific location, tissue type or organ structure can be made without the need for a direct comparison with other body tissues.

In certain embodiments, a majority of the matured DCs and/or tracking marker is present in a specific location, tissue type or organ structure of the subject indicating the presence of the targeted infection, pathogen virus, rickettsia, bacteria or parasite. In certain other embodiments, at least about 75% of the matured DCs and/or tracking marker are present in a specific location, tissue type or organ structure of the subject indicating the presence of an influenza infection. In certain other embodiments, less than a majority of the matured DCs and/or tracking marker present in a specific location, tissue type or organ structure can indicate the presence of an infection, pathogen virus, rickettsia, bacteria or parasite, where the amount of the DCs and/or tracking marker in the specific location, tissue type or organ structure is higher than in surrounding areas.

Labeling of Dendritic Cells and Delivery of Therapeutic Compounds

The ability of LEAPS™ heteroconjugate-treated DCs to localize to the site of an infection can be utilized to deliver therapeutic agents directly to the site of the infection in addition to the diagnostic applications discussed above. The therapeutic agent or radioisotope conjugated to a LEAPS™ heteroconjugate or to a monoclonal antibody (mAb) can by conjugated or linked to a lysosomatropic agent. A lysosomatropic agent is a weak organic base that can diffuse through membranes but will become protonated in the lysosome of a cell, where the protonated lysosomatropic agent is unable to diffuse through membranes and will, therefore, be trapped within the cell. Hydrophobic amines, including butylamine, spermidine, spermine, methylamine, and cyanine dyes (including those used for studying membrane potential or that are used as tracers in neurobiology) are examples of lysosomatropic agents. These lysosomatropic agents can be modified to be conjugated to a radioisotope or to a therapeutic compound (e.g. cytokines, staphylococcal enterotoxin A superantigen, staphylococcal enterotoxin B superantigen, or other molecules) by a cleavable linkage to the radioisotope or compound.

Antiviral therapeutic agent, especially anti-influenza drugs, can be delivered by conjugation to a LEAPS™ heteroconjugate or to an mAb. Alternatively, antiviral therapeutic agents can be delivered by lysosomal means. The two main classes of antiviral therapeutic agents used against influenza are neuraminidase inhibitors, such as zanamivir (RELENZA™) and oseltamivir (TAMIFLU™), or inhibitors of the viral M2 protein, such as amantadine (SYMMETREL™) and rimantadine (FLUMADINE™). Some interferons either normal (non-pegylated) or pegylated and especially forms that can be conjugated or delivered by lysosomal encapsulated methods may also be useful in severe cases.

Conjugation of an antiviral therapeutic agent or any other therapeutic agent or a dye can be done through the selective use or engineering of an amino acid residue to conjugate to the antiviral therapeutic agent. For example, a cysteine or lysine residue can be engineered into the LEAPS™ heteroconjugates to serve as a conjugation site for a therapeutic compound. Other active sites for attachment on other amino acids include OH groups on serine or threonine residues, COOH groups on aspartic or glutamic acid residues, the carboxyl terminal COOH, amide groups on glutamine or asparagine residues, NH₂ on amino terminal amino acid or lysine residues, and —SCH₃ groups on methionine residues. A therapeutic agent or a dye conjugated to a LEAPS™ heteroconjugates or to an mAb that can in turn be conjugated to DCs via the LEAPS™ heteroconjugates or the mAb.

In a further embodiment, the LEAPS™ heteroconjugate or an mAb can be conjugated to a fluorescent dye. Suitable dyes include but are not limited to N,N′di-carboxypentyl-indodicarbocyanine-5,5′-disulfonic acid (Cy5.5), Alexa Fluor® probes, carboxyfluorescein succinimidyl ester (CFSE), 4-N(S-glutathionylacetylaminophenyl)arsenoxide-Cy5.5, 2,3-dicyanonaphthalene-Cy5.5 or Alexa Fluor, or CFSE and other near-infrared probes. Additional NIR probes include Cy 5.5 covalently linked to 4-N(S-glutathionylacetylaminophenyl)arsenoxide-Cy5.5 and 2,3-dicyanonaphthalene-Cy5.5. Additionally, DCs can be directly stained by carboxyfluorescein succinimidyl ester (CFSE). In particular, Cy 5.5, Alexa Flour® and other NIR dyes exhibit low absorption of the NIR signal in tissue at operating wavelengths and may be quenched by conjugation of two or more NIR probe molecules together. Cleavage of the conjugation bonds results in fluorescence dequenching and generation of a signal that is suitable for imaging. A fluorescent image can be made by endoscopy or by taking a tissue biopsy. A tissue biopsy can be examined by flow cytometry to identify the presence of fluorescent cells.

EXAMPLES

Preparation of Bone Marrow Cells

Bone marrow (BM) cells were extracted from the femurs and tibias of BALB/c mice using a sterile disposable 27 g needle. The ends of the femurs and tibias were removed to expose the bone marrow, and the BM cells were flushed out with Hanks Balanced Salt Solution (HBSS). BM cells were washed with HBSS, passed through a Nytex filter, and red blood cells were lysed with ACK buffer (NH₄Cl, KHCO₃, EDTA, neutral pH 6-8-7.4). The BM cells were suspended in culture medium containing RPMI at a concentration of approximately 5×10⁶ cells/mL.

The remaining BM cells were decanted from the plastic tissue culture flasks and further washed and resuspended in RPMI medium with 10% fetal calf serum (FCS) containing 20 ng/mL murine recombinant (GM-CSF) at a concentration of approximately 1 to 1.5×10⁶ cells/mL. BM cells were incubated in RPMI medium with 10% FCS containing 20 ng/mL GM-CSF at 37° C. by seeding approximately 1×10⁶ BM cells per well in well culture plates or approximately 50×10⁶ BM cells in tissue culture flasks. Following 2 days and 4 days of incubation, the culture media was replaced with fresh RPMI medium with 10% FCS containing 20 ng/mL GM-CSF. BM cells were harvested after 8 days.

Phenotyping of BM Cells

The BM cells after incubation with GM-CSF were analyzed for expression of CD3, CD19, CD11c, CD86, MHC II and F4/80 (CD80). At least 10⁶ cells were analyzed by flow cytometry (Altra FACS, Beckman Coulter) using forward and side scatter parameters to limit the immunofluorescence analysis to cells having the size and granularity anticipated for monocytes and dendritic cells. In FIG. 1A, two-dimensional flow cytometry data for the isolated BM cells are presented. Immunofluorescence analysis was limited to cells having forward and side scatter parameters falling within the boxed region marked on FIG. 1A.

The BM cells were labeled with an appropriate antibody-fluorescent conjugate for each cell surface marker analyzed. The antibody-fluorescent conjugates used are indicated in Table 4. All antibody-fluorescent conjugates are commercially available and have affinity to the mouse (anti-mouse) cell surface markers as indicated. Flow cytometry analysis was also performed using an appropriate isotype control, as indicated in Table 4.

TABLE 4 Antibody-fluorescent conjugates for flow cytometry Surface Antibody Marker Conjugate Clone Source Isotype Control CD3 CD3-PerCP 145-2C11 BD¹ PerCP hamster IGg1 Kappa CD19 CD19-PerCP- 1D3 BD PerCP cy5.5 rat Ig2a Cy5.5 Kappa CD11c CD11c- N418 eBioscience² Alexa Fluor 488 Alexa488 Hamster IgG1 I-A(d) I-A(d)-PE AMS-32.1 BD PE mouse IgG2b Kappa CD80 CD80-PE 16-10A1 BD PE hamster IgG2 Kappa CD86 CD86-APC GL1 BD APC rat IgG2a Kappa F4/80 F4/80 FITC BM8 eBioscience FITC rat IgG2a Kappa ¹BD Bioscience, 2350 Qume Dr., San Jose, CA 95131 ²eBioscience, 10255 Science Center Dr., San Diego, CA 92121

The results of flow cytometry analysis of the BM cells are presented in FIGS. 1B through 1F. Fluorescence intensity is presented on the x-axis and normalized cell count is presented on the y-axis in FIGS. 1B through 1F. Results obtained using the surface marker-specific antibody-fluorescent conjugates are shown as unshaded data and results obtained using the corresponding isotype antibody on Table 4 are shown as shaded data. The mean fluorescence value of the peak along the indicated length of the x-axis is shown for each plot in FIGS. 1B through 1F. As can be seen in FIGS. 1D and 1E, significant expression levels for CD11c, MHC II, and CD86 are seen in the BM cells. Lower levels of expression are seen for CD3, CD19 and F4/80. The observed expression of cell surface markers is believed to be typical for DCs and/or monocytes prior to binding to an antigen for presentation. The cell surface marker pattern presented in FIGS. 1B through 1G is believed to indicate the presence of iDCs in the isolated BM cells with little or no matured DCs present. As such, the isolated BM cells were believed to contain BMDCs.

Incubation of BM Cells with LEAPS Peptides and Phenotyping

As described above, flow cytometry analysis for the BM cells incubated with GM-CSF indicated that the BM cells display a phenotype consistent with the presence of iDCs and/or monocytes. These cells were incubated with LEAPS™ heteroconjugate or an appropriate control as described below.

BM cells isolated from mice, as described above, were seeded into a 24-well culture plate at about 10⁶ cells per well in RPMI media with 10% FCS and 20 ng/mL GM-CSF. The BM cells were incubated with GM-CSF media over the course of 8 days and replenished with fresh media after 2 days and 4 days. After 8 days, a specific LEAPS™ heteroconjugate, a control composition or a combination of LEAPS™ heteroconjugates were added to individual wells.

LEAPS™ heteroconjugates were added to individual wells at an amount of 14.5 micromoles. Four different LEAPS™ heteroconjugates were utilized having an antigen peptide derived from influenza virus: J-NP (SEQ ID No. 1), J-M2e (SEQ ID No. 2), J-HA1 (SEQ ID No. 12) and J-HA2 (SEQ ID No. 11). In addition, a LEAPS™ heteroconjugate having an antigen portion derived from p17 gag protein from HIV was used as a control, J-H (DLLKNGERIEKVEGGGYSVHQRIDVKDTKEALEKIEEEQNKSKKKA) (SEQ ID No. 37). LEAPS™ heteroconjugate J-H is conjugate of Peptide J with and a peptide isolated from the p17 gag protein of HIV, “Protein H” (YSVHQRIDVKDTKEALEKIEEEQNKSKKKA) (SEQ ID No. 38), through a -GGG- linker. Additional wells were incubated with an approximately equimolar mixture of J-NP, J-M2e, J-HA1 and J-HA2 at a total combined amount of 14.5 micromoles per well. An additional non-LEAPS™ heteroconjugate control was used, lipopolysaccharide (LPS), which was expected to produce a significant immune response.

BM cells were incubated at 37° C. with the appropriate LEAPS™ heteroconjugate or LPS for a period of 24 hours and harvested. Trials of incubation for periods of 24 hours, 48 hours and 72 hours were also explored; however, 24 hours of incubation was found to yield the most satisfactory maturation signals. The BM cells were analyzed by flow cytometry, in the same manner described above, after incubation with the LEAPS™ heteroconjugate or LPS for a period of 24 hours, 48 hours or 72 hours. Results of flow cytometry are presented in FIGS. 2 and 3. Results are also presented for BM cells (iDCs) not incubated with a LEAPS™ heteroconjugate or LPS. FIGS. 2A through 2D present the cell phenotype generated by contact with control LPS (FIG. 1A) and a control non-influenza LEAPS™ heteroconjugate (J-H, SEQ ID No. 37) (FIG. 1B) along with the cell phenotype generated by contact with influenza-derived LEAPS™ heteroconjugates J-NP1 (FIG. 2C) and J-M2e (FIG. 2D). FIGS. 3A through 3B present the phenotype of additional embodiment influenza-derived LEAPS™ heteroconjugates, J-HA1 (FIG. 3A) and J-HA2 (FIG. 3B). FIG. 3C presents the phenotype observed for cells contacted with a mixture of J-NP1, J-M2e, J-HA1 and J-HA2.

No significant levels for CD3, CD19, or F4/80 were observed. Therefore, flow cytometry data for those cell surface markers are not shown in FIGS. 2 and 3. Presented in FIGS. 2 and 3 are positive signals for CD80, MHC Class II, CD85 and CD11c. A significant upregulation for CD80, CD86 and MHC II is seen for all LEAPS™ heteroconjugates, in addition to for LPS, compared to the untreated cells presented in FIG. 1. As such, the LEAPS™ heteroconjugates appear to display an effect on DC phenotype analogous to known immunogens, such as LPS. Of particular note in the significant levels of expression seen for CD80 and CD86, which are associated with matured macrophages/DCs. The level of express of CD11c appears to be consistent in the BM cells pre- and post-maturation.

BM cells are known to be good source of stem cells for monocytes and naïve myeloid DCs with few or no T cells. Stem cells/monocytes can be stimulated to take on a DC phenotype by exposure to GM-CSF, which is indicated by expression of CD11c. CD11c is a type I transmembrane protein found on DCs. In FIGS. 2B through 2D and FIGS. 3A through 3C, consistent expression of CD11c is observed in both the LEAPS™ heteroconjugate-treated DCs and the non-LEAPS™-activated (non-pulsed) DCs. Significant up-regulation for CD80, MHC Class II and CD86 is seen with the LEAPS™ heteroconjugate-treated DCs.

For clarity, FIGS. 4A through 4D present cell surface marker analysis by flow cytometry for BM cells matured in the presence of a mixture of J-NP (SEQ ID No. 1), J-M2e (SEQ ID No. 2), J-HA1 (SEQ ID No. 12) and J-HA2 (SEQ ID No. 11) in comparison with pre-maturation DCs. The BM cells used to generate the data presented in FIG. 4 were collected from 30 individual mice. The BM cells were washed and treated to lyse red blood cells, as described above, and suspended in RPMI media with 10% FCS and 20 ng/mL GM-CSF after the removal of adhering macrophages. BM cells were incubated in the RPMI media for 8 days at 37° C. and replenished with fresh media after 2 days and 4 days. After 8 days of incubation, 14.5 micromoles of a combined mixture of J-NP, J-M2e, J-HA1 and J-HA2 was added per 10⁶ BM cells and incubated for 24 hours.

CD80 and CD86 are cell markers for matured DCs competent for signaling and activating T cells. The change in phenotype observed between the non-LEAPS™-activated DCs and the LEAPS™ heteroconjugate-treated DCs is a directed indication that the LEAPS™ heteroconjugates described herein are capable of directly developing iDCs into matured DCs expressing cell surface markers needed for antigen presentment and T cell activation. FIGS. 4A and 4D highlight the extent of up-regulation of CD80 and CD86, respectively, achieved by incubation with the combined mixture LEAPS™ heteroconjugates relative to untreated BM cells (iDCs). FIG. 4C shows a similar up-regulation for MHC II while FIG. 4B shows that a consistent expression of CD11c is maintained before and after contact with the combined mixture LEAPS™ heteroconjugates.

Treatment of Mice with LEAPS Heteroconjugate-Treated DCs

45 mice were infected with 10⁶ TCID₅₀ of mouse-adapted PR8 influenza A virus. The effectiveness of DCs treated with a mixture of conjugates J-NP (SEQ ID No. 1), J-M2e (SEQ ID No. 2), J-HA1 (SEQ ID No. 12) and J-HA2 (SEQ ID No. 11) for mitigating influenza infections was evaluated. The LEAPS™ heteroconjugate-activated DCs are the same as those presented in FIG. 4. The 45 mice were divided into three groups and treated 24 hours after infection as follows: a group treated with 10⁷ cells/mouse by IV of the LEAPS™ heteroconjugate-activated DCs; a group treated with 10⁷ cells/mouse by IV of non-LEAPS™-activated DCs (iDCs), and a group treated with 200 μL phosphate buffered saline (PBS) by IV per mouse. For each of the three groups, 5 mice were sacrificed after 3 days after treatment with DCs (4 days post-infection) and 10 mice were monitored for up to 14 days (15 days post infection).

FIG. 5 presents the level of viral load observed in lung tissue for the mice sacrificed at 4 days post-infection from each of the three groups described above. The viral load as measured in MDCK cells and the results are expressed in TCID₅₀ per gram of lung tissue in FIG. 5 for each of the 5 mice from each group along with the mean viral load from the group as represented by a line. A comparison of the mean viral load for the non-LEAPS™-activated DC group with the LEAPS™ heteroconjugate-activated DC group indicates a p-value of 0.005 by paired t test, representing a statistically significant difference in observed viral load. The observed difference in mean viral load between the non-LEAPS™-activated DC group with the LEAPS™ heteroconjugate-activated DC group is about a factor of 10.

FIG. 6 presents the survivability of each of the 10 mice from the 3 groups that were not sacrificed at 4 days post infection. Days are marked on FIG. 6 in reference to IV treatment with DCs or PBS. For the control group of mice treated with 200 μL of PBS, all individuals were deceased by 6 days post IV. Of note, the group of mice treated with not treated with LEAPS™-heteroconjugate DCs showed all individuals deceased by 5 days post IV. For the group of mice treated with LEAPS™ heteroconjugate-activated DCs, half of the mice were deceased by 5 days post IV. Remarkably, all of the mice surviving longer than 5 days post IV survived to 14 days and did not succumb to the infection that would normally be fatal to many mice in the other groups.

The statistical significance between the observed survivability between the non-LEAPS™-activated DC group and the LEAPS™ heteroconjugate-activated DCs group was evaluated by Mantel-Cox test and Gerhan-Breslow-Wilcoxon test. The Mantel-Cox test yielded a p-value of 0.0035 and the Gerhan-Breslow-Wilcoxon test yielded a p-value of 0.0046. As such, a null hypothesis that there is no statistical difference in survivability between the two groups is rejected.

Treatment of Mice with LEAPS Heteroconjugate Treated-DCs/Time from Infection

An additional survival study for treating influenza-infected mice with DCs was performed to determine any effect based on time between infection and treatment with DC cells. Mice were infected with 10⁵ TCID₅₀ PR8 strain Type A influenza virus. 45 mice were treated by IV at 8 hours post infection and 30 mice were treated by IV at 24 hours post infections with either 10⁷ cells/mouse of not treated with LEAPS™-heteroconjugate DCs or 10⁷ cells/mouse of LEAPS™ heteroconjugate-treated DCs. A total of four groups of mice were monitored as follows: 15 mice treated with non-LEAPS™-activated DCs (“non-pulsed DCs”) at 8 hours post-infection; 15 mice treated with LEAPS™ heteroconjugate-activated DCs at 8 hours post-infection; 15 mice treated with non-LEAPS™-activated DCs (“non-pulsed DCs”) at 24 hours post-infection; and 15 mice treated with LEAPS™ heteroconjugate-activated DCs at 24 hours post-infection. From each group, 5 individuals were sacrificed at 3 days post IV treatment and 10 individuals were observed for 14 days post IV treatment.

Virus titers found in lung tissue of the sacrificed mice 3 days post IV were measured using a standard assay in MDCK cells. The mean virus titers (log₁₀ TCID₅₀/g) for the non-LEAPS™-activated DC groups treated at 8 and 24 hours post infection were about 7.3 TCID₅₀ g⁻¹ and 7.6 TCID₅₀ g⁻¹, respectively. The mean virus titers for the LEAPS™ heteroconjugate-activated DC groups treated at 8 and 24 hours were both about 6.1 TCID₅₀ g¹. The virus titers for the 8-hour non-LEAPS™-activated DC group and the 8-hour LEAPS™ heteroconjugate-activated DC group were compared by paired t test. A similar comparison by t test was also performed for the 24-hour non-LEAPS™-activated DC group and the 24-hour LEAPS™ heteroconjugate-activated DC group. The paired t test yielded p-values of 0.01 and 0.04, respectively. As such, there is a statistical basis to reject a null hypothesis of no difference in viral load between compared groups. Almost no difference was seen in mean virus titers between the 8- and 24-hour LEAPS™ heteroconjugate-activated DC groups. As such, acquired immunity obtainable by treatment with LEAPS™ heteroconjugate-activated DCs does not appear to be time dependent at least within the 24-hour period following infection.

FIG. 7 presents the survival of the 10 mice from each group described above that were not sacrificed at 3 days post treatment. As shown in FIG. 7, approximately half of the LEAPS™ heteroconjugate-activated DC individuals survive while the infection is fatal to all the individuals treated with the non-LEAPS™-activated DCs. Survival for the two 8-hour post-infection treatment groups and the two 24-hour post-infection treatments groups were compared by Mantel-Cox test, with p-value of 0.01 in both instances.

The results presented herein appear to be the first time that DCs matured with a designed, artificial peptide are reported to be sufficient to provide protection from a lethal infection. That is, the results presented here demonstrate the usefulness of LEAPS™ heteroconjugate-activated DCs for combating an active infection and not only for prophylactic use. Taylor et al., Vaccine 28 (2010), 5533-43, cited above, reports the use of DCs treated with an artificial peptide for prophylactic use against challenge with HSV-1 virus; however, no indication is made for effectiveness against an active infection. As discussed in Taylor et al., the J Peptide alone does not induce protection against infection nor a change in phenotype of iDCs exposed to Peptide J.

DCs were administered to individual mice after inoculation with competent Type A influenza virus. Even if symptoms are not actively present in the mice, it is presumed that an active infection is on-going prior to treatment with DC cells. The course of influenza infection can be monitored through observation of weight of infected mice. FIG. 8 presents daily weight information for each of the 10 mice in each of the 4 above-described groups. FIG. 8A shows weight for mice treated with non-LEAPS™-activated DCs at 8 hours post infection, FIG. 8B shows weight for mice treated with LEAPS™ heteroconjugate-activated DCs at 8 hours post infection, FIG. 8C shows weight for mice treated with non-LEAPS™-activated DCs at 24 hours post infection, and FIG. 8D shows weight for mice treated with LEAPS™ heteroconjugate-activated DCs at 24 hours post infection.

As seen in FIG. 8, all individual mice contracted an active influenza infection as indicated by significant weight loss. As discussed, about half of the LEAPS™ heteroconjugate-activated DC-treated mice do not survive and succumb to infection within 6 days post infection. At about 6 days post IV treatment, the weight of the LEAPS treated DC surviving mice begins to stabilize and increase as the animals recover. In FIGS. 8A and 8C, no recovery of weight is observed since the infection proves to be fatal in all individuals. Interestingly, the individuals in FIG. 8A representing mice treated with non-LEAPS™-activated DCs at 8 hours post infection appear to have weight gain prior to the development of weight loss. However, regardless of the weight gain observed, DCs cells not activated with the LEAPS™ heteroconjugates do not affect the ultimate survivability from influenza infection.

Distribution of LEAPS Heteroconjugate-Treated DCs

Surprisingly, observations indicate that LEAPS™ heteroconjugate-activated DCs administered to influenza-infected mice by IV were not evenly distributed in the tissue of infected mice. The above-described iDCs were incubated with the combined LEAPS™ heteroconjugates for 24 hours or left in a non-LEAPS™-activated or iDC state. The DCs were then labeled by incubation with 5 μM carboxyfluorescein succinimidyl ester (CSFE) for 30 minutes at 37° C. to fluorescently label the DCs. Those skilled in the art will recognize that the manner for labeling DCs for later detection is not limited to any particular method. For example, DCs can be labeled for later detection by other methods including labeling with other cell surface labeled dyes, or radionuclides. The CSFE-labeled DCs were administered IV into 18 individual mice in two groups: 9 mice were administered 10⁷ non-LEAPS™-activated DCs cells and 9 mice were administered 10⁷ LEAPS™ heteroconjugate-activated DCs, as described-above. 3 individuals in each group were sacrificed at 8, 24 and 48 hours post IV and tissue collected from lung, spleen and lymph nodes.

FIGS. 9A through 9F show two-dimensional flow cytometry data for lung tissue recovered 8 hours after IV administration of DCs. FIGS. 9A-9C show data collected from 3 individual mice treated with non-LEAPS™-activated DCs. FIGS. 9D-9F show data collected from 3 individual mice treated with the combined LEAPS™ heteroconjugate-activated DCs.

The two-dimensional data presented represents CFSE fluorescence intensity and side scattering. The outlined boxes in FIGS. 9A through 9F represent the region where DCs having characteristic side scattering and sufficient fluorescence to indicated CSFE labeling are expected to be found. All mice presented in FIGS. 9A-9F were infused with 10⁷ CSFE-labeled DCs. However, the combined LEAPS™ heteroconjugate-activated DC mice exhibit a much greater level of CSFE-labeled cells in lung tissue compared to the non-LEAPS™-activated DC mice. Mean fluorescent intensity is indicated on FIGS. 9A-9F.

FIGS. 10A through 10C present the CSFE-labeled cell distribution from tissue collected from lung, spleen and lymph nodes at 8 (FIG. 10A), 24 (FIG. 10B) and 48 hours (FIG. 10C) post IV treatment. As mentioned, tissues from 3 individuals were collected at each time point. As seen, a large increase in the number of CSFE-labeled cells is seen in lung tissue for the LEAPS™ heteroconjugate-activated DC mice in FIG. 10A compared to the non-pulsed DC mice. Further, the level of CSF-labeled cells seen in lung is significantly higher than observed in spleen or lymph nodes. As seen in FIGS. 10B and 10C, the level of CSFE-labeled cells found in lung tissue decreases over time at 24 hours and 48 hours post IV. In certain embodiments, a majority of the LEAPS™ heteroconjugate-activated DCs locate to the site of an infection within 8 hours of administration of the DCs to a patient, where the heteroconjugate contains an antigen derived from the organism or virus causing the infection. In certain other embodiments, at least about 30% of the LEAPS™ heteroconjugate-activated DCs locate to the site of an infection within 8 hours of administration of the DCs to a patient, where the heteroconjugate contains an antigen derived from the organism or virus causing the infection.

References Infectious disease agent Bibliography Reference # Citation 1 Uger RA, Chan SM, Barber BH. Covalent linkage to beta2-microglobulin enhances the MHC stability and antigenicity of suboptimal CTL epitopes. J Immunol. 1999 May 15;162(10):6024-8.; Deliyannis G, Jackson DC, Ede NJ, Zeng W, Hourdakis I, Sakabetis E, Brown LE. Induction of long-term memory CD8(+) T cells for recall of viral clearing responses against influenza virus. J Virol. 2002 May;76(9):4212-21.; Chen W, Antón LC, Bennink JR, Yewdell JW. Dissecting the multifactorial causes of immunodominance in class I- restricted T cell responses to viruses. Immunity. 2000 Jan;12(1):83-93. 2 Fan J, Liang X, Horton MS, Perry HC, Citron MP, Heidecker GJ, Fu TM, Joyce J, Przysiecki CT, Keller PM, Garsky VM, Ionescu R, Rippeon Y, Shi L, Chastain MA, Condra JH, Davies ME, Liao J, Emini EA, Shiver JW. Preclinical study of influenza virus A M2 peptide conjugate vaccines in mice, ferrets, and rhesus monkeys. Vaccine. 2004 Aug 13;22(23-24):2993-3003.; Mozdzanowska K, Feng J, Eid M, Kragol G, Cudic M, Otvos L Jr, Gerhard W. Induction of influenza type A virus-specific resistance by immunization of mice with a synthetic multiple antigenic peptide vaccine that contains ectodomains of matrix protein 2. Vaccine. 2003 Jun 2;21(19-20):2616-26.; Reid AH, Fanning TG, Janczewski TA, McCall S, Taubenberger JK. Characterization of the 1918 “Spanish” influenza virus matrix gene segment. J Virol. 2002 Nov;76(21):10717-23.; Feng J, Zhang M, Mozdzanowska K, Zharikova D, Hoff H, Wunner W, Couch RB, Gerhard W. Influenza A virus infection engenders a poor antibody response against the ectodomain of matrix protein 2. Virol J. 2006 Dec 6;3:102.; Zhang M, Zharikova D, Mozdzanowska K, Otvos L, Gerhard W. Fine specificity and sequence of antibodies directed against the ectodomain of matrix protein 2 of influenza A virus. Mol Immunol. 2006 Jul;43(14):2195-206. Epub 2006 Feb 10.; Zharikova D, Mozdzanowska K, Feng J, Zhang M, Gerhard W. Influenza type A virus escape mutants emerge in vivo in the presence of antibodies to the ectodomain of matrix protein 2. J Virol. 2005 Jun;79(11):6644-54. 3 Prabhu N. et al., Monoclonal antibodies against the fusion peptide ofhemagglutinin protect mice from lethal influenza A virus H5N1 infection, J. Virol., Mar. 2009;83(6):2553-62, epub Dec. 24 2008 4 Sui J. et al., Structural and functional bases for broad-spectrum neutralization of avian and human influenza A viruses, Nat. Struct. Mol. Biol., Mar.2009; 16(3):233-4. Ekiert D.C. et al., Antibody recognition of a highly conserved influenza virus epitope, Science, Apr. 10 2009; 324(5924):246-51, epub Feb 26. 2009 Items 1-4 are also shown by the following accession numbers are available from “The NCBI handbook [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2002 Oct. Chapter 18, The Reference Sequence (RefSeq) Project. Available from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db = Books” 5 Tan PT, Khan AM, August JT. Highly conserved influenza A sequences as T cell epitopes-based vaccine targets to address the viral variability. Human vaccines 2011 Apr;7(4):402-9. Items 6-39 shown by the following accession numbers are available from “The NCBI handbook [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2002 Oct. Chapter 18, The Reference Sequence (RefSeq) Project. Available from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db = Books.” 6 Protein Sequence Identification Number GI: 31260974 7 Protein Sequence Identification Number GI: 195561808 8 Protein Sequence Identification Number GI: 327554159 9 Protein Sequence Identification Number GI: 317160605 10 Protein Sequence Identification Number GI: 317160574 11 Protein Sequence Identification Number GI: 301078817 12 Protein Sequence Identification Number GI: 301078803 13 Protein Sequence Identification Number GI: 82469328 14 Protein Sequence Identification Number GI: 294510591 15 Protein Sequence Identification Number GI: 329317733 16 Protein Sequence Identification Number GI: 327322724 17 Protein Sequence Identification Number GI: 296936111 18 Protein Sequence Identification Number GI: 118573902 19 Protein Sequence Identification Number GI: 239775095 20 Protein Sequence Identification Number GI: 110666853 21 Protein Sequence Identification Number GI: 260099978 22 Protein Sequence Identification Number GI: 145904955 23 Protein Sequence Identification Number GI: 326579756 24 Protein Sequence Identification Number GI: 2246490 25 Protein Sequence Identification Number GI: 9625941 26 Protein Sequence Identification Number GI: 30575434 27 Protein Sequence Identification Number GI: 30575485 28 Protein Sequence Identification Number GI: 226000962 29 Protein Sequence Identification Number GI: 260162094 30 Protein Sequence Identification Number GI: 270504657 31 Protein Sequence Identification Number GI: 283099868 32 Protein Sequence Identification Number GI: 291060256 33 Protein Sequence Identification Number GI: 293651071 34 Protein Sequence Identification Number GI: 323903353 35 Protein Sequence Identification Number GI: 154744649 36 Protein Sequence Identification Number GI: 222478375 37 Protein Sequence Identification Number GI: 222478403 38 Protein Sequence Identification Number GI: 295848592 39 Protein Sequence Identification Number GI: 30575485 40 Andre LA Oliveira, Jimmunol, 2009 41 Bihl F, et al. 2007. Lytic and latent antigens of the human gammaherpesviruses Kaposi's sarcoma-associated herpesvirus and Epstein- Barr virus induce T-cell responses with similar functional properties and memory phenotypes. J Virol, 81:4904-8. 42 Brander C, et al. 2001. Definition of an optimal cytotoxic T lymphocyte epitope in the latently expressed Kaposi's sarcoma-associated herpesvirus kaposin protein. J Infect Dis, 184:119-26. 43 Caccamo N, et al. 2009. Analysis of Mycobacterium tuberculosis-specific CD8 T-cells in patients with active tuberculosis and in individuals with latent infection. PLoS One, 4:e5528 44 Chen Y, et al. 2008. BKV and JCV large T antigen-specific CD8+ T cell response in HLA A*0201+ kidney transplant recipients with polyomavirus nephropathy and patients with progressive multifocal leukoencephalopathy. J Clin Virol, 42:198-202 45 Chentoufi AA, et al. 2010. A novel HLA (HLA-A*0201) transgenic rabbit model for preclinical evaluation of human CD8+ T cell epitope-based vaccines against ocular herpes. J Immunol, 184:2561-71 46 Ding J, et al. 2010. Identification of HLA-A24-Binding Peptides of Mycobacterium tuberculosis Derived Proteins with Beta 2m Linked HLA-A24 Single Chain Expressing Cells. Immunol Invest 47 Firbas C, et al. 2010. Immunogenicity and safety of different injection routes and schedules of IC41, a Hepatitis C virus (HCV) peptide vaccine. Vaccine 48 Frey CR, et al. 2003. Identification of CD8+ T cell epitopes in the immediate early 62 protein (IE62) of varicella-zoster virus, and evaluation of frequency of CD8+ T cell response to IE62, by use of IE62 peptides after varicella vaccination. J Infect Dis, 188:40-52. 49 Graham S, et al. 1993. Analysis of the human T-cell response to picornaviruses: identification of T-cell epitopes close to B-cell epitopes in poliovirus. J Virol, 67:1627-37 50 Harndahl Mikkel, et al. 2010. Large scale analysis of peptide-HLA class I interactions 51 Hayward AR. 1990. T-cell responses to predicted amphipathic peptides of varicella-zoster virus glycoproteins II and IV. J Virol, 64:651-5. 52 Holland MJ, et al. 2006. The frequency of Chlamydia trachomatis major outer membrane protein-specific CD8+ T lymphocytes in active trachoma is associated with current ocular infection. Infect Immun, 74:1565-72 53 Jolivert I&I 55 1498 54 Kim S, et al. 2010. Single-chain HLA-A2 MHC trimers that incorporate an immundominant peptide elicit protective T cell immunity against lethal West Nile virus infection. J Immunol, 184: 4423-30 55 Kinchington PR, et al. 1988. Identification and Characterization of a Varicella-Zoster Virus DNA-Binding Protein by Using Antisera Directed against a Predicted Synthetic Oligopeptide. J Virol, 62:802-9. 56 Klade CS, et al. 2009. Hepatitis C virus-specific T cell responses against conserved regions in recovered patients. Vaccine, 27:3099-108 57 Koelle DM, et al. 2008. Phase I dose-escalation study of a monovalent heat shock protein 70-herpes simplex virus type 2 (HSV-2) peptide-based vaccine designed to prime or boost CD8 T-cell responses in HSV- na & Atilde; & macr;ve and HSV-2-infected subjects. Clin Vaccine Immunol, 15:773-82 58 Kotturi MF, et al. 2009. Of mice and humans: how good are HLA transgenic mice as a model of human immune responses? Immunome Res, 5:3 59 Leen AM, et al. 2004. Conserved CTL epitopes on the adenovirus hexon protein expand subgroup cross-reactive and subgroup-specific CD8+ T cells. Blood 60 Marzocchetti A, et al. 2009. Efficient in vitro expansion of JC virus-specific CD8(+) T-cell responses by JCV peptide-stimulated dendritic cells from patients with progressive multifocal leukoencephalopathy. Virology, 383:173- 7 61 Morgan, C.A., et al. Segregation o fB and T cell epitopes of Treponema pallidum repeat protein K to variable and conserved regions during experimental syphilis infection, J Immunol, 2002, 169, 952-957 62 Oba DE, et al. 1988. Induction of Antibodies to the Epstein-Barr Virus Glycoprotein gp85 with a Synthetic Peptide Corresponding to a Sequence in the BXLF2 Open Reading Frame. J Virol, 62:1108-14. 63 Pfaff et al 88 or 85 JV 144-159 64 Pim LJ, et al. 2009. Identification of varicella-zoster virus-specific CD8 T cells in patients after T-cell-depleted allogeneic stem cell transplantation. J Virol, 83:7361-4 65 Prato S, et al. 2006.: Cross-presentation of a human malaria CTL epitope is conformation dependent. Mol Immunol, 43:2031-6 66 Riedl P, et al. 2009. Elimination of immunodominant epitopes from multispecific DNA-based vaccines allows induction of CD8 T cells that have a striking antiviral potential. J Immunol, 183:370-80 67 Riemer AB, et al. 2010. A conserved E7-derived cytotoxic T lymphocyte epitope expressed on human papillomavirus 16-transformed HLA-A2+ epithelial cancers. J Biol Chem, 285:29608-22 68 Schneidawind D, et al. 2010. Polyomavirus BK-specific CD8+ T cell responses in patients after allogeneic stem cell transplant. Leuk Lymphoma, 51:1055-62 69 Simons J, et al. 1993. Characterization of poliovirus-specific T lymphocytes in the peripheral blood of Sabin-vaccinated humans. J Virol, 67:1262-8 70 Stebbing J, et al. 2003. Kaposi's sarcoma-associated herpesvirus cytotoxic T lymphocytes recognize and target Darwinian positively selected autologous K1 epitopes. J Virol; 77:4306-14. 71 Terrosi C, et al. 2007. Immunological characterization of respiratory syncytial virus N protein epitopes recognized by human cytotoxic T lymphocytes. Viral Immunol, 20:399-406 72 Tynan FE, et al. 2005. The immunogenicity of a viral cytotoxic T cell epitope is controlled by its MHC-bound conformation. J Exp Med, 202:1249-60. 73 van der Heiden PL, et al. 2009. Identification of varicella-zoster virus-specific CD8 T cells in patients after T-cell-depleted allogeneic stem cell transplantation. J Virol, 83:7361-4. 74 Wilkinson J, et al. 2002. Identification of Kaposi's sarcoma-associated herpesvirus (KSHV)-specific cytotoxic T-lymphocyte epitopes and evaluation of reconstitution of KSHV-specific responses in human immunodeficiency virus type 1-Infected patients receiving highly active antiretroviral therapy. J Virol; 76:2634-40. 75 Zhong J, et al. 2008. Induction of pluripotent protective immunity following immunisation with a chimeric vaccine against human cytomegalovirus. PLoS One. 3:e3256 76 Zweig M, Showalter SD, Simms DJ, Hampar B. Antibodies to a synthetic oligopeptide that react with herpes simplex virus type 1 and 2 glycoprotein C. J Virol. 1984 Aug;51(2):430-6. 77 Uger RA, Chan SM, Barber BH. Covalent linkage to beta2-microglobulin enhances the MHC stability and antigenicity of suboptimal CTL epitopes. J Immunol. 1999 May 15;162(10):6024-8.; Deliyannis G, Jackson DC, Ede NJ, Zeng W, Hourdakis I, Sakabetis E, Brown LE. Induction of long-term memory CD8(+) T cells for recall of viral clearing responses against influenza virus. J Virol. 2002 May;76(9):4212-21.; Chen W, Antón LC, Bennink JR, Yewdell JW. Dissecting the multifactorial causes of immunodominance in class I- restricted T cell responses to viruses. Immunity. 2000 Jan;12(1):83-93. 78 Fan J, Liang X, Horton MS, Perry HC, Citron MP, Heidecker GJ, Fu TM, Joyce J, Przysiecki CT, Keller PM, Garsky VM, Ionescu R, Rippeon Y, Shi L, Chastain MA, Condra JH, Davies ME, Liao J, Emini EA, Shiver JW. Preclinical study of influenza virus A M2 peptide conjugate vaccines in mice, ferrets, and rhesus monkeys. Vaccine. 2004 Aug 13;22(23-24):2993-3003.; Mozdzanowska K, Feng J, Eid M, Kragol G, Cudic M, Otvos L Jr, Gerhard W. Induction of influenza type A virus-specific resistance by immunization of mice with a synthetic multiple antigenic peptide vaccine that contains ectodomains of matrix protein 2. Vaccine. 2003 Jun 2;21(19-20):2616-26.; Reid AH, Fanning TG, Janczewski TA, McCall S, Taubenberger JK. Characterization of the 1918 “Spanish” influenza virus matrix gene segment. J Virol. 2002 Nov;76(21):10717-23.; Feng J, Zhang M, Mozdzanowska K, Zharikova D, Hoff H, Wunner W, Couch RB, Gerhard W. Influenza A virus infection engenders a poor antibody response against the ectodomain of matrix protein 2. Virol J. 2006 Dec 6;3:102.; Zhang M, Zharikova D, Mozdzanowska K, Otvos L, Gerhard W. Fine specificity and sequence of antibodies directed against the ectodomain of matrix protein 2 of influenza A virus. Mol humunol. 2006 Jul;43(14):2195-206. Epub 2006 Feb 10.; Zharikova D, Mozdzanowska K, Feng J, Zhang M, Gerhard W. Influenza type A virus escape mutants emerge in vivo in the presence of antibodies to the ectodomain of matrix protein 2. J Virol. 2005 Jun;79(11):6644-54. 79 Prabhu N. et al., Monoclonal antibodies against the fusion peptide ofhemagglutinin protect mice from lethal influenza A virus H5N1 infection, J. Virol., Mar. 2009;83(6):2553-62, epub Dec. 24 2008 80 Sui J. et al., Structural and functional bases for broad- spectrum neutralization of avian and human influenza A viruses, Nat. Struct. Mol. Biol., Mar.2009; 16(3):233-4. Ekiert D.C. et al., Antibody recognition of a highly conserved influenza virus epitope, Science, Apr. 10 2009; 324(5924):246-51, epub Feb 26. 2009 81 Harboe M, Malin AS, Dockrell HS, Wiker HG, Ulvund G, Holm A, J 

rgensen MC, Andersen P. B-cell epitopes and quantification of the ESAT-6 protein of Mycobacterium tuberculosis. Infect Immun. 1998 Feb;66(2):717-23. 82 OConnor TP, Esty KJ, Hanscom JL, Shields P, Philipp MT. Dogs vaccinated with common Lyme disease vaccines do not respond to IR6, the conserved immunodominant region of the VlsE surface protein of Borrelia burgdorferi. Clin Diagn Lab Immunol. 2004 May;11(3):458-62. 83 Horowitz A, et al. 2009. Use of immobilized HLA-A2:Ig dimeric proteins to determine the level of epitope-specific, HLA-restricted CD8(+) T-cell response. Scand J Immunol, 70:415-22. 84 Kostense S, et al. 2002. Functional restoration of human immunodeficiency virus and Epstein-Barr virus-specific CD8(+) T cells during highly active antiretroviral therapy is associated with an increase in CD4(+) T cells. Eur J Immunol, 32:1080-9. 85 van Baarle D, et al. 2001. Dysfunctional Epstein-Barr virus (EBV)-specific CD8(+) T lymphocytes and increased EBV load in HIV-1 infected individuals progressing to AIDS-related non-Hodgkin lymphoma. Blood, 98:146-55. 86 Aldhamen, YA et al. Expression of the SLAM family of receptors adapter EAT-2 as a novel strategy for enhancing beneficial immune responses to vaccine antigens. J Immunol. 186, 722-732 (2011). 87 Votteler, J et al. Highly convserved serine residue 40 in HIV-1 p6 regulates capsid processing and virus core assembly. Retrovirology, 8, (2011) 88 Wilson CC, et al. 2003. Development of a DNA Vaccine Designed to Induce Cytotoxic T Lymphocyte Responses to Multiple Conserved Epitopes in HIV- 1. J Immunol, 171:5611-23. 89 Amrani A, et al. 2001. Expansion of the antigenic repertoire of a single T cell receptor upon T cell activation. J Immunol, 167:655-66. 90 Ausubel LJ, et al. 2005. Characterization of in vivo expanded OspA-specific human T-cell clones. Clin Immunol, 115:313-22. 91 Harboe M, et al. 1998. e: B-cell epitopes and quantification of the ESAT-6 protein of Mycobacterium tuberculosis Infect Immun, 66:717-23. 92 Tully G, et al. 2005. Highly focused T cell responses in latent human pulmonary Mycobacterium tuberculosis infection. J Immunol, 174:2174-84. 93 Weichold FF, et al. 2007. Impact of MHC class I alleles on the M. tuberculosis antigen-specific CD8+ T-cell response in patients with pulmonary tuberculosis. Genes Immun, 8:334-43. Items 94-103 shown by the following accession numbers are available from “The NCBI handbook [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2002 Oct. Chapter 18, The Reference Sequence (RefSeq) Project. Available from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db = Books.” 94 Protein Sequence Identification Number GI:15644780 95 Protein Sequence Identification Number GI:29027589 96 Protein Sequence Identification Number GI:295366328 97 Protein Sequence Identification Number GI:323717628 98 Protein Sequence Identification Number GI:327475068 99 Protein Sequence Identification Number GI:327745 100 Protein Sequence Identification Number GI:332139121 101 Protein Sequence Identification Number GI:332321176 102 Protein Sequence Identification Number GI:332673306 103 Protein Sequence Identification Number GI:332715316 104 Protein Sequence Identification Number GI:91980330 Seq ID 7 Accession No. GI:333778347 Seq ID 8 Accession No. GI:329047495  Seq ID 10 Accession No. GI:333125981 Seq ID 9 Accession No. GI:333125981 

We claim:
 1. A method for delivering a therapeutic agent to an infection site in a subject, comprising: contacting immature dendritic cells or monocytes with a peptide construct ex vivo under conditions suitable for maturation of the cells to form the matured dendritic cells; and administering an effective amount of the matured dendritic cells to the subject, wherein a majority of the matured dendritic cells administered to the subject locate to the infection site, wherein a separate therapeutic agent is conjugated to the peptide construct or an antibody such that the separate therapeutic agent is delivered to the infection site when the matured dendritic cells are administered to the subject, and wherein the peptide construct has the formula P₁-x-P₂ or P₂-x-P₁, wherein a. P₂ represents a specific antigenic peptide derived from a Type A Influenza virus competent for recognition by a class or subclass of immune cells or binding to an antibody; b. P₁ is selected from the group consisting of SEQ ID NOs: 3-6 and 40 or a modification thereof wherein the modification is a modification to either or both of an N- or C-terminal of the sequence by any one or more of amidation or acylation; and c. x represents a covalent bond or a divalent linking group.
 2. The method of claim 1, wherein the peptide construct is selected from the group consisting of SEQ ID NOs: 1-2, 11-36, 47-52, 140-189 and 209-218 or a modification thereof; wherein the modification is a modification to either or both of an N- or C-terminal of the sequence by any one or more of amidation or acylation.
 3. The method of claim 1, wherein the immature dendritic cells or monocytes are collected from the subject, and where the cells after maturation are introduced back into the subject in an autologous fashion.
 4. The method of claim 1, wherein an anti-influenza drug is conjugated to the matured dendritic cells via the antibody.
 5. The method of claim 1, wherein the separate therapeutic agent is one or more anti-influenza drugs selected from a group consisting of zanamivir, oseltamivir, amantadine, rimantadine, non-pegylated interferons and pegylated interferons.
 6. The method of claim 1, wherein the peptide construct is conjugated to an anti-influenza drug.
 7. A method for treating a subject, comprising: administering an effective amount of a peptide construct optionally with an adjuvant to the subject or administering an effective amount of matured dendritic cells to the subject, wherein the peptide construct has the formula P₁-x-P₂ or P₂-x-P₁, wherein P₂ is selected from the group consisting of SEQ ID NOs: 7-10, 41-46, 53-139 and 190-208 or a modification thereof wherein the modification is a modification to either or both of an N- or C-terminal of the sequence by any one or more of amidation or acylation, P₁ is selected from the group consisting of SEQ ID NOs: 3-6 and 40, or a modification thereof wherein the modification is a modification to either or both of an N- or C-terminal of the sequence by any one or more of amidation or acylation, and x represents a covalent bond or a divalent linking group; and the matured dendritic cells are formed by contacting immature dendritic cells or monocytes with the peptide construct having the formula P₁-x-P₂ or P₂-x-P₁ under conditions suitable for maturation of the cells to form matured dendritic cells, wherein the peptide construct or the matured dendritic cells are administered to the subject prophylactically.
 8. The method of claim 7, wherein the immature dendritic cells or monocytes are collected from the subject, and where the cells after maturation are introduced back into the subject in an autologous fashion.
 9. The method of claim 7, wherein the peptide construct is selected from the group consisting of SEQ ID NOs: 1-2, 11-36, 47-52, 140-189 and 209-218.
 10. The method of claim 7, wherein the peptide construct is administered with an adjuvant that is selected from the group consisting of Freund's incomplete adjuvant, a liposomal adjuvant, and a water-in-oil or a water-in-oil-in-water formulation.
 11. A method for modulating an immune response in a subject, comprising: administering an effective amount of a peptide construct optionally with an adjuvant to the subject or administering an effective amount of matured dendritic cells to the subject, wherein the peptide construct has the formula P₁-x-P₂ or P₂-x-P₁, wherein P₂ is selected from the group consisting of SEQ ID NOs: 7-10, 41-46, 53-139 and 190-208 or a modification thereof wherein the modification is a modification to either or both of an N- or C-terminal of the sequence by any one or more of amidation or acylation, P₁ is selected from the group consisting of SEQ ID NOs: 3-6 and 40 or a modification thereof wherein the modification is a modification to either or both of an N- or C-terminal of the sequence by any one or more of amidation or acylation, and x represents a covalent bond or a divalent linking group; and the matured dendritic cells are formed by contacting immature dendritic cells or monocytes with the peptide construct having the formula P₁-x-P₂ or P₂-x-P₁ under conditions suitable for maturation of the cells to form matured dendritic cells, wherein the peptide construct or the matured dendritic cells are administered to the subject having an active infection.
 12. The method of claim 11, wherein the immature dendritic cells or monocytes are collected from the subject, and where the cells after maturation are introduced back into the subject in an autologous fashion.
 13. The method of claim 11, wherein the peptide construct is selected from the group consisting of SEQ ID NOs: 1-2, 11-36, 47-52, 140-189 and 209-218. 